Arkansas Central Primary Care, PLLC
NPI 1396996740ActiveOrganization· Family Medicine· Jacksonville, AR
Family Medicine in Jacksonville, Arkansas, registered in NPPES in October 2008. The authorized official on file is Gary Drew Jackson, Clinic Administrator. Enrolled in Medicare as dme supplier - physician - family practice and part b supplier - clinic/group practice.
Overview
| NPI | 1396996740 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 3, 2008 |
| Last updated in NPPES | Feb 2, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| General Practice | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Family Practice (AR); Part B Supplier - Clinic/Group Practice (AR) |
|---|
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