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MAYFLOWER FAMILY MEDICINE
NPI 1790867257
Clinic/Center - Primary Care in Mayflower, AR

Active since October 20, 2006CLIA 04D0900676 · Waiver
587 HIGHWAY 365, MAYFLOWER, AR 72106(501) 470-7413(501) 470-7415 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 22, 2020, Dec 30, 2019 (2 updates tracked since 2019).

About Mayflower Family Medicine NPPES

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

MAYFLOWER FAMILY MEDICINE (NPI 1790867257) is a healthcare organization registered as a primary care in Mayflower, Arkansas and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through May 15, 2027 and lists Jane A Jackson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1790867257
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMAYFLOWER FAMILY MEDICINE
Location Address587 HIGHWAY 365Mayflower, AR 72106
Mailing AddressPo Box 925Mayflower, AR 72106-0925 · (501) 470-7413 · Fax (501) 470-7415
Phone(501) 470-7413
Fax(501) 470-7415
Organization SubpartNo
Authorized OfficialJane A JacksonOffice Manager · (501) 470-7413
Enumeration DateOctober 20, 2006
Last NPPES UpdateAugust 22, 20202 updates tracked since enumeration
NPPES CertifiedDecember 30, 2019
✔ NPI 1790867257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
587 HIGHWAY 365, Mayflower, AR 72106
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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 04D0900676

Mayflower Family Medical · Mayflower, AR
Active · expires May 15, 2027
CLIA Number04D0900676
Laboratory TypeRural Health Clinic
Certificate Effective DateMay 16, 2025
Certificate Expiration DateMay 15, 2027
Laboratory DirectorDebra Thrasher
Laboratory Phone(501) 470-7413
Laboratory LocationMayflower Family Medical606 Highway 365, Mayflower, AR 72106
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHELLY M CLIFTON R.N.P.
Nurse Practitioner (Family)
587 HIGHWAY 365
MAYFLOWER, AR 72106
Faulkner County (501) 470-7413
ANGELA D FOSTER APN
Nurse Practitioner (Family)
587 HIGHWAY 365
MAYFLOWER, AR 72106
Faulkner County (501) 470-7413
DR. THOMAS O BEASLEY M.D.
Family Medicine
587 HIGHWAY 365
MAYFLOWER, AR 72106
Faulkner County (501) 470-7413

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 Mayflower Family Medicine's NPI number?

The NPI number for Mayflower Family Medicine is 1790867257. It was assigned to this organization in the NPPES registry on October 20, 2006.

Where is Mayflower Family Medicine located?

Mayflower Family Medicine is located at 587 Highway 365, Mayflower, AR 72106. The listed phone number is (501) 470-7413.

What is Mayflower Family Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Mayflower Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0900676) is associated with this NPI, valid through May 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mayflower Family Medicine was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.