Autumn Road Family Practice, P.A,
NPI 1629027818ActiveOrganization· Clinic/Center· Little Rock, AR
Clinic/Center in Little Rock, Arkansas, registered in NPPES in May 2006. The authorized official on file is Dawn Drennan, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629027818 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 8, 2006 |
| Last updated in NPPES | May 31, 2022 |
| Certified by provider | May 31, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | MC0079 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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