De Queen Family Medical Associates PLLC
NPI 1104678820 · Family Medicine Physician · De Queen, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
De Queen Family Medical Associates PLLC is a Family Medicine Physician organization in De Queen, AR (NPI 1104678820).
Provider details
- NPI number
- 1104678820
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Kelley, Authorized Official(870) 584-3627
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-04-04
- Last updated
- 2024-05-31
- Certified
- 2024-05-31
Frequently asked questions
- What is De Queen Family Medical Associates PLLC's NPI number?
- De Queen Family Medical Associates PLLC's National Provider Identifier (NPI) is 1104678820, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is De Queen Family Medical Associates PLLC?
- De Queen Family Medical Associates PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is De Queen Family Medical Associates PLLC located?
- De Queen Family Medical Associates PLLC's practice location on file with NPPES is 500 E Collin Raye Dr, De Queen, AR 71832-8048.
- What is De Queen Family Medical Associates PLLC's phone number?
- The practice phone number listed in the NPPES registry for De Queen Family Medical Associates PLLC is (870) 584-3627.
- Does De Queen Family Medical Associates PLLC accept Medicare?
- De Queen Family Medical Associates PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for De Queen Family Medical Associates PLLC?
- The authorized official listed on De Queen Family Medical Associates PLLC's NPPES record is William Kelley, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is De Queen Family Medical Associates PLLC's NPI active?
- Yes — De Queen Family Medical Associates PLLC's NPI (1104678820) is active in the NPPES registry as of the last update on 2024-05-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.