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EVERGREEN INTERNAL MEDICINE PLLC
NPI 1801017595
Clinic/Center - Primary Care in Little Rock, AR

Active since May 01, 2007
1100 N UNIVERSITY AVE, SUITE 125, LITTLE ROCK, AR 72207(501) 664-1540 Get Directions Write a Review

NPPES record last updated: October 21, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Internal Medicine Pllc NPPES

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

EVERGREEN INTERNAL MEDICINE PLLC (NPI 1801017595) is a healthcare organization registered as a primary care in Little Rock, Arkansas and active in the NPI registry since May 2007. The organization lists Robert A Henry, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1801017595
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEVERGREEN INTERNAL MEDICINE PLLC
Location Address1100 N UNIVERSITY AVE, SUITE 125Little Rock, AR 72207-6343
Mailing Address1100 N University Ave, Suite 125Little Rock, AR 72207-6343 · (501) 664-1540
Phone(501) 664-1540
Organization SubpartNo
Authorized OfficialRobert A HenryManaging Member · (501) 664-1540
Enumeration DateMay 1, 2007
Last NPPES UpdateOctober 21, 2009
✔ NPI 1801017595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1100 N UNIVERSITY AVE, Little Rock, AR 72207
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Other Identifiers 1

Medicare ID-Type Unspecified5C418AR

Other Providers at the Same Location NPPES 20

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

SUSANNA E SHERMER M.D.
Family Medicine
1100 N UNIVERSITY AVE, SUITE 1
LITTLE ROCK, AR 72207
Pulaski County (501) 552-7900
GARY APPLEBY BLONSKY LCSW
Social Worker (Clinical)
1100 N UNIVERSITY AVE
LITTLE ROCK, AR 72207
Pulaski County (501) 773-0290
JOSHUA MEDICAL LINK CORPORATION
Durable Medical Equipment & Medical Supplies
1100 N UNIVERSITY AVE, STE 130
LITTLE ROCK, AR 72207
Pulaski County (501) 614-9711
MS. LINDA KATHERINE VANBLARICOM M.S.
Counselor (Mental Health)
1100 N UNIVERSITY AVE, SUITE 149
LITTLE ROCK, AR 72207
Pulaski County (501) 309-4858
MISS KARON PATRICE CUNNINGHAM LADAC
Case Manager/Care Coordinator
1100 N UNIVERSITY AVE, 200
LITTLE ROCK, AR 72207
Pulaski County (870) 347-2534
JEFFERSON COMPREHENSIVE CARE SYSTEM, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1100 N UNIVERSITY AVE, SUITE 125
LITTLE ROCK, AR 72207
Pulaski County (501) 663-0055
ELIZABETH MARIE BUCOLO M.A.
Psychologist (Clinical)
1100 N UNIVERSITY AVE, SUITE 200
LITTLE ROCK, AR 72207
Pulaski County (501) 686-9300
MRS. BRITTANY D STEWART SMITH LCSW
Social Worker (Clinical)
1100 N UNIVERSITY AVE, SUITE 133
LITTLE ROCK, AR 72207
Pulaski County (501) 664-0091

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 Evergreen Internal Medicine PLLC's NPI number?

The NPI number for Evergreen Internal Medicine PLLC is 1801017595. It was assigned to this organization in the NPPES registry on May 1, 2007.

Where is Evergreen Internal Medicine PLLC located?

Evergreen Internal Medicine PLLC is located at 1100 N University Ave Suite 125, Little Rock, AR 72207. The listed phone number is (501) 664-1540.

What is Evergreen Internal Medicine PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Evergreen Internal Medicine PLLC was last updated on October 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.