| Central Arkansas Family Clinic | |
|
1106 S Pine St Ste B Cabot AR 72023-3819 | |
| (501) 580-6389 | |
| Not Available |
| Full Name | Central Arkansas Family Clinic |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1106 S Pine St Ste B, Cabot, Arkansas |
| Authorized Official Name and Position | Kimberly M Griffith (OWNER/APRN) |
| Authorized Official Contact | 5014226373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Arkansas Family Clinic 909 W Main St Ste 187 Jacksonville AR 72076-4025 Ph: (501) 580-6389 | Central Arkansas Family Clinic 1106 S Pine St Ste B Cabot AR 72023-3819 Ph: (501) 580-6389 |
| NPI Number | 1811551336 |
|---|---|
| Provider Enumeration Date | 04/30/2019 |
| Last Update Date | 03/26/2021 |
| Medicare PECOS PAC ID | 3577980929 |
|---|---|
| Medicare Enrollment ID | O20200831000962 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811551336 | NPI | - | NPPES |
| Provider Name | David Shenker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578511473 PECOS PAC ID: 1658356639 Enrollment ID: I20040623000461 |
| Provider Name | Robert W Balentine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609927706 PECOS PAC ID: 9032297288 Enrollment ID: I20091009000500 |
| Provider Name | Charles C Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992906143 PECOS PAC ID: 8820139785 Enrollment ID: I20130613000193 |
| Provider Name | Andrew M Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841733300 PECOS PAC ID: 6507147634 Enrollment ID: I20170104001863 |
| Provider Name | Kimberly M Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427540525 PECOS PAC ID: 5193072551 Enrollment ID: I20180717003179 |
| Provider Name | Danica Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184400574 PECOS PAC ID: 0345695516 Enrollment ID: I20231006002863 |
| Provider Name | Jessica Jeffers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548951577 PECOS PAC ID: 9830544816 Enrollment ID: I20231011001173 |
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