PREMIERE FAMILY PRACTICE
NPI 1932708641
Family Medicine in Jonesboro, AR

Active since October 22, 2020CLIA 04D2200397 · Waiver
1904 GRANT AVE STE G, JONESBORO, AR 72401(870) 243-4136 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 11, 2022, Apr 13, 2021, Apr 6, 2021 and 1 more (4 updates tracked since 2020).

About Premiere Family Practice NPPES

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

PREMIERE FAMILY PRACTICE (NPI 1932708641) is a healthcare organization registered as a family medicine in Jonesboro, Arkansas and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through November 15, 2026 and lists Carolyn Coleman, Owner, as its authorized official.

NPPES Registry Identity

NPI1932708641
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePREMIERE FAMILY PRACTICE
Location Address1904 GRANT AVE STE GJonesboro, AR 72401-6165
Mailing Address1904 Grant Ave Ste GJonesboro, AR 72401-6165 · (870) 493-3007 · Fax (870) 330-9076
Organization SubpartNo
Authorized OfficialCarolyn ColemanOwner · (870) 493-3007
Enumeration DateOctober 22, 2020
Last NPPES UpdateFebruary 11, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2022
NPI 1932708641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.

1904 GRANT AVE STE G, Jonesboro, AR 72401

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

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 04D2200397

Premiere Family Practice · Jonesboro, AR
Active · expires Nov 15, 2026
CLIA Number04D2200397
Laboratory TypePractitioner Other
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorMr. Elham A. Armah
Laboratory Phone(901) 921-2686
Laboratory LocationPremiere Family Practice1904 Grant Ave Suite G, Jonesboro, AR 72401
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
1904 GRANT AVE STE G
JONESBORO, AR 72401
Nurse Practitioner (Primary Care)
1904 GRANT AVE STE G
JONESBORO, AR 72401

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 Premiere Family Practice's NPI number?

The NPI number for Premiere Family Practice is 1932708641. It was assigned to this organization in the NPPES registry on October 22, 2020.

Where is Premiere Family Practice located?

Premiere Family Practice is located at 1904 Grant Ave Ste G, Jonesboro, AR 72401. The listed phone number is (870) 243-4136.

What is Premiere Family Practice's specialty?

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

Does Premiere Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2200397) is associated with this NPI, valid through November 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premiere Family Practice accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Premiere Family Practice 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 Premiere Family Practice was last updated on February 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.