1. Home
  2. Directory
  3. Arkansas
  4. Jacksonville
  5. Clinic Center
  6. NPI Profile

JACKSONVILLE CENTRAL DIALYSIS CENTER
NPI 1982822631
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Jacksonville, AR

Active since April 20, 2007CLIA 04D1068870 · Waiver
400 T P WHITE DR, JACKSONVILLE, AR 72076(501) 241-1300(501) 985-1344 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 14, 2024, Apr 5, 2023, Jun 24, 2021 and 1 more (4 updates tracked since 2015).

About Jacksonville Central Dialysis Center NPPES

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

JACKSONVILLE CENTRAL DIALYSIS CENTER (NPI 1982822631) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Jacksonville, Arkansas and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through May 21, 2027 and lists Samuel Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1982822631
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameLITTLE ROCK DIALYSIS CENTERS LLC
Location Address400 T P WHITE DRJacksonville, AR 72076-3287
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(501) 241-1300
Fax(501) 985-1344
Organization SubpartNo
Authorized OfficialSamuel WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateApril 20, 2007
Last NPPES UpdateJune 14, 20244 updates tracked since enumeration
NPPES CertifiedJune 14, 2024
✔ NPI 1982822631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
400 T P WHITE DR, Jacksonville, AR 72076
Open in Google Maps ↗

Other Names 1

Doing Business AsJacksonville Central Dialysis Center

Other Identifiers 1

Medicaid167213134AR

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 04D1068870

Jacksonville Central Dialysis Center · Jacksonville, AR
Active · expires May 21, 2027
CLIA Number04D1068870
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMay 22, 2025
Certificate Expiration DateMay 21, 2027
Laboratory DirectorDr. Fakhar Ijaz
Laboratory Phone(501) 241-1300
Laboratory LocationJacksonville Central Dialysis Center400 T P White Drive, Jacksonville, AR 72076
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Little Rock Dialysis Centers LLC's NPI number?

The NPI number for Little Rock Dialysis Centers LLC is 1982822631. It was assigned to this organization in the NPPES registry on April 20, 2007. The provider is doing business as Jacksonville Central Dialysis Center.

Where is Little Rock Dialysis Centers LLC located?

Little Rock Dialysis Centers LLC is located at 400 T P White Dr, Jacksonville, AR 72076. The listed phone number is (501) 241-1300.

What is Little Rock Dialysis Centers LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Little Rock Dialysis Centers LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D1068870) is associated with this NPI, valid through May 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Little Rock Dialysis Centers LLC 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 6 other insurers list Little Rock Dialysis Centers LLC 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 Little Rock Dialysis Centers LLC was last updated on June 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.