FAMILY CARE OF SOUTHERN ARKANSAS, LTD
NPI 1790050466
Family Medicine in El Dorado, AR

Active since March 14, 2012CLIA 04D0976201 · Waiver
3108 N WEST AVE, EL DORADO, AR 71730(870) 863-9020 Get Directions Write a Review

NPPES record last updated: March 14, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Family Care Of Southern Arkansas, Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY CARE OF SOUTHERN ARKANSAS, LTD (NPI 1790050466) is a healthcare organization registered as a family medicine in El Dorado, Arkansas and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through July 26, 2028 and lists Robert A Watson, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1790050466
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY CARE OF SOUTHERN ARKANSAS, LTD
Location Address3108 N WEST AVEEl Dorado, AR 71730-2731
Mailing Address11001 Executive Center Dr, Suite 200Little Rock, AR 72211-4316 · (501) 812-7800
Organization SubpartNo
Authorized OfficialRobert A WatsonMd/owner · (870) 863-9020
Enumeration DateMarch 14, 2012
✔ NPI 1790050466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · E-1050
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3108 N WEST AVE, El Dorado, AR 71730

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Care Of Southern Arkansas, Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Family Care Of Southern Arkansas, Ltd, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1417060286
3108 NORTH WEST AVENUE
El Dorado, AR 71730
(870) 863-9020
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1861925331
2280 E MAIN ST
El Dorado, AR 71730
(870) 444-5216
✔ PECOS✔ Accepts Medicare3.0 mi
Nurse Practitioner
NPI 1194311498
3108 N WEST AVE
El Dorado, AR 71730
(870) 863-9020
✔ PECOS✔ Accepts Medicare3.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D0976201

Family Care Of Southern Arkansas PA · El Dorado, AR
Active · expires Jul 26, 2028
CLIA Number04D0976201
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 27, 2026
Certificate Expiration DateJuly 26, 2028
Laboratory DirectorDr. Robert Watson
Laboratory Phone(870) 863-9020
Laboratory LocationFamily Care Of Southern Arkansas PA3108 North West Ave, El Dorado, AR 71730
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Care Of Southern Arkansas, Ltd's NPI number?

The NPI number for Family Care Of Southern Arkansas, Ltd is 1790050466. It was assigned to this organization in the NPPES registry on March 14, 2012.

Where is Family Care Of Southern Arkansas, Ltd located?

Family Care Of Southern Arkansas, Ltd is located at 3108 N West Ave, El Dorado, AR 71730. The listed phone number is (870) 863-9020.

What is Family Care Of Southern Arkansas, Ltd's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Family Care Of Southern Arkansas, Ltd enrolled in Medicare?

Yes. Family Care Of Southern Arkansas, Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Care Of Southern Arkansas, Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Family Care Of Southern Arkansas, Ltd, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Care Of Southern Arkansas, Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0976201) is associated with this NPI, valid through July 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Family Care Of Southern Arkansas, Ltd accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Family Care Of Southern Arkansas, Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Family Care Of Southern Arkansas, Ltd was last updated on March 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.