| North Little Rock Family Practice Clinic/a Baptist Health Affiliate | |
|
505 W Pershing Blvd Ste C North Little Rock AR 72114-2157 | |
| (501) 758-7352 | |
| (501) 771-5014 |
| Full Name | North Little Rock Family Practice Clinic/a Baptist Health Affiliate |
|---|---|
| Speciality | Family Medicine |
| Location | 505 W Pershing Blvd Ste C, North Little Rock, Arkansas |
| Authorized Official Name and Position | Will Rusher (CEO/PRESIDENT) |
| Authorized Official Contact | 5018127800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Little Rock Family Practice Clinic/a Baptist Health Affiliate 11001 Executive Center Dr Suite 200 Little Rock AR 72211-4316 Ph: (501) 812-7800 | North Little Rock Family Practice Clinic/a Baptist Health Affiliate 505 W Pershing Blvd Ste C North Little Rock AR 72114-2157 Ph: (501) 758-7352 |
| NPI Number | 1740299478 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 04/11/2019 |
| Medicare PECOS PAC ID | 7911802079 |
|---|---|
| Medicare Enrollment ID | O20040624000461 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740299478 | NPI | - | NPPES |
| 128271002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | William L Hawkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720044548 PECOS PAC ID: 2163417544 Enrollment ID: I20040415001045 |
| Provider Name | Jennie E Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770866360 PECOS PAC ID: 9032382619 Enrollment ID: I20111026000507 |
| Provider Name | Amanda K Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639596877 PECOS PAC ID: 0648495606 Enrollment ID: I20140707001103 |
| Provider Name | Jasmine A Brathwaite |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083925994 PECOS PAC ID: 2365660735 Enrollment ID: I20140826002309 |
| Provider Name | Adam P Grant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487074639 PECOS PAC ID: 6406073055 Enrollment ID: I20160913001327 |
| Provider Name | Hannah K Baugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174057376 PECOS PAC ID: 3173894557 Enrollment ID: I20170803000028 |
Kelli Keene Sanders, Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 505 W Pershing Blvd Ste B, North Little Rock, AR 72114 Phone: 501-753-1881 Fax: 501-753-2133 | |
North Little Rock Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2525 Willow St, Suite # 1, North Little Rock, AR 72114 Phone: 870-543-2380 | |
The Center Health & Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3801 Jfk Blvd Ste C, North Little Rock, AR 72116 Phone: 501-712-4333 Fax: 501-712-4333 | |
North Hills Family Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4509 E Mccain Blvd, North Little Rock, AR 72117 Phone: 501-945-4200 Fax: 501-945-0906 | |
Cavs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11c/nlr Towbin Health Care 2200 Fort Roots Drive, North Little Rock, AR 72114 Phone: 501-257-2627 | |
Arcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2411 Mccain Blvd, North Little Rock, AR 72116 Phone: 501-500-5001 Fax: 501-500-5001 | |
Arkansas Health Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4200 East Washington Ave, North Little Rock, AR 72114 Phone: 501-534-1300 Fax: 501-613-0848 |