Organization provider

FORREST CITY FAMILY PRACTICE CLINIC, PA

Adult Medicine Physician Adolescent Medicine (Family Medicine) Physician Geriatric Medicine (Family Medicine) Physician Medicare enrolled

FORREST CITY FAMILY PRACTICE CLINIC, PA is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1649396979, based in Forrest City, AR. The organization lists 3 taxonomy classifications, with Adult Medicine Physician recorded as primary.

Getting there

The practice address on file is 902 HOLIDAY DR SUITE 101, Forrest City, AR 72335. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

902 HOLIDAY DR SUITE 101, Forrest City, AR 72335 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
R3762 AR Adult Medicine Physician primary
R3762 AR Adolescent Medicine (Family Medicine)…
R3762 AR Geriatric Medicine (Family Medicine)…

This provider holds licence R3762 issued in AR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
9436528353
Enrollment ID
O20221214003060

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Adult Medicine covers

The NUCC recommends this code not be used. Choose a more appropriate code. NUCC Health Care Provider Taxonomy, code 207QA0505X
Allopathic & Osteopathic Physicians Family Medicine Adult Medicine

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207QA0505X Adult Medicine Physician Adult Medicine R3762 AR primary
207QA0000X Adolescent Medicine (Family Medicine) Physician Adolescent Medicine R3762 AR
207QG0300X Geriatric Medicine (Family Medicine) Physician Geriatric Medicine R3762 AR

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1649396979 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateMar 21, 2007
Last updatedDec 1, 2011
StatusActive
Practice address 902 HOLIDAY DR
SUITE 101
Forrest City, AR 72335
(870) 630-1256
Other identifiers R3762 · Other (AR)
51280 · Other (AR)
113530001 · Medicaid (AR)
This record was last updated on Dec 1, 2011, roughly 14 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1649396979 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 4 9 3 9 6 9 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 8 9 6 9 3 9 5

Sum = 81 · next multiple of 10 = 90 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1649396979?
NPI 1649396979 is the National Provider Identifier assigned to FORREST CITY FAMILY PRACTICE CLINIC, PA in Forrest City, AR. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Adult Medicine cover?
The NUCC recommends this code not be used. Choose a more appropriate code.
How do I contact FORREST CITY FAMILY PRACTICE CLINIC, PA?
The phone number on file with NPPES is (870) 630-1256, last updated Dec 1, 2011. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does FORREST CITY FAMILY PRACTICE CLINIC, PA accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1649396979 a valid number?
Yes. 1649396979 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.