Clarksville Medical Group, P.A.
NPI 1447253810ActiveOrganization· Family Medicine· Clarksville, AR
Family Medicine in Clarksville, Arkansas, registered in NPPES in May 2005. The authorized official on file is Ali Graves, CPCO, Practice Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1447253810 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 31, 2005 |
| Last updated in NPPES | Jun 26, 2025 |
| Certified by provider | Jun 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | MC-0283 | AR |
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 Part B Supplier - Clinic/Group Practice (AR) |
|---|
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