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DELTA FAMILY CLINIC
NPI 1942915517
Nurse Practitioner - Family in Forrest City, AR

Active since January 18, 2023CLIA 04D2275410 · Waiver
1111 N WASHINGTON ST, FORREST CITY, AR 72335(870) 594-8012(870) 594-8013 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 1, 2023, Jan 18, 2023 (2 updates tracked since 2023).

About Delta Family Clinic NPPES

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

DELTA FAMILY CLINIC (NPI 1942915517) is a healthcare organization registered as a family in Forrest City, Arkansas and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through January 19, 2027 and lists Samantha Devazier, Owner, as its authorized official.

NPPES Registry Identity

NPI1942915517
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSAMANTHA DEVAZIER APRN PLLC
Location Address1111 N WASHINGTON STForrest City, AR 72335-2150
Mailing Address1111 N Washington StForrest City, AR 72335-2150 · (870) 594-8012 · Fax (870) 594-8013
Phone(870) 594-8012
Fax(870) 594-8013
Organization SubpartNo
Authorized OfficialSamantha DevazierOwner · (870) 594-8012
Enumeration DateJanuary 18, 2023
Last NPPES UpdateMay 1, 20232 updates tracked since enumeration
NPPES CertifiedMay 1, 2023
✔ NPI 1942915517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1111 N WASHINGTON ST, Forrest City, AR 72335
Open in Google Maps ↗

Other Names 1

Doing Business AsDelta Family Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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 04D2275410

Delta Family Clinic · Forrest City, AR
Active · expires Jan 19, 2027
CLIA Number04D2275410
Laboratory TypeFnp Primary Care Clinic
Certificate Effective DateJanuary 20, 2025
Certificate Expiration DateJanuary 19, 2027
Laboratory DirectorSamantha Devazier
Laboratory Phone(870) 594-8012
Laboratory LocationDelta Family Clinic1111 N Washington St, Forrest City, AR 72335
CLIA data matches this NPI record on: Address Name 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.

FORREST CITY FAMILY PHARMACY LLC
Pharmacy (Long Term Care Pharmacy)
1111 N WASHINGTON ST
FORREST CITY, AR 72335
St. Francis County (870) 581-9029
FORREST CITY FAMILY PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
1111 N WASHINGTON ST
FORREST CITY, AR 72335
St. Francis County (870) 581-9029
SAMANTHA DEVAZIER APRN
Nurse Practitioner (Family)
1111 N WASHINGTON ST
FORREST CITY, AR 72335
St. Francis County (870) 594-8012

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 Samantha Devazier Aprn PLLC's NPI number?

The NPI number for Samantha Devazier Aprn PLLC is 1942915517. It was assigned to this organization in the NPPES registry on January 18, 2023. The provider is doing business as Delta Family Clinic.

Where is Samantha Devazier Aprn PLLC located?

Samantha Devazier Aprn PLLC is located at 1111 N Washington St, Forrest City, AR 72335. The listed phone number is (870) 594-8012.

What is Samantha Devazier Aprn PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Samantha Devazier Aprn PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2275410) is associated with this NPI, valid through January 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Samantha Devazier Aprn PLLC 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 Samantha Devazier Aprn PLLC 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 Samantha Devazier Aprn PLLC was last updated on May 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.