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: July 19, 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
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

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
04D0900676
Facility Type
Rural Health Clinic
Certificate Effective Date
May 16, 2025
Certificate Expiration Date
May 15, 2027
Laboratory Director
DEBRA THRASHER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mayflower Family Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MAYFLOWER FAMILY MEDICINE

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Family Medicine
587 HIGHWAY 365
MAYFLOWER, AR 72106
Nurse Practitioner (Family)
587 HIGHWAY 365
MAYFLOWER, AR 72106
Nurse Practitioner (Family)
587 HIGHWAY 365
MAYFLOWER, AR 72106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790867257, enumerated as an "organization" on October 20, 2006.

The provider is located at 587 HIGHWAY 365 MAYFLOWER, AR 72106 and the phone number is (501) 470-7413.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.