Mena Pediatric Center, PLLC
NPI 1164909081ActiveOrganization· Pediatrics· Mena, AR
Pediatrics in Mena, Arkansas, registered in NPPES in July 2018. The authorized official on file is Alissa M. Grant, MD, Physician/Owner.
Overview
| NPI | 1164909081 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 24, 2018 |
| Last updated in NPPES | Jun 11, 2021 |
| Certified by provider | Jun 11, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pediatrics providers in Mena
- 1487629317
- 1003016700