Primary Care 360
NPI 1124678586 · Family Medicine Physician · Sherwood, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Primary Care 360 is a Family Medicine Physician organization in Sherwood, AR (NPI 1124678586).
Provider details
- NPI number
- 1124678586
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Khalid Rayaz, Owner(501) 833-4001
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
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 300 S Shackleford RdLittle Rock, AR 72211-5725Phone: (501) 918-9192Fax: (501) 295-7679
- 103 Frankie LnWhite Hall, AR 71602-2685Phone: (870) 393-5050
Registry dates
- Enumerated
- 2019-09-18
- Last updated
- 2020-10-21
- Certified
- 2020-10-21
Frequently asked questions
- What is Primary Care 360's NPI number?
- Primary Care 360's National Provider Identifier (NPI) is 1124678586, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Primary Care 360?
- Primary Care 360 is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Primary Care 360 located?
- Primary Care 360's practice location on file with NPPES is 100 Shadow Oaks Dr, Sherwood, AR 72120-6046.
- What is Primary Care 360's phone number?
- The practice phone number listed in the NPPES registry for Primary Care 360 is (501) 486-4045.
- Does Primary Care 360 accept Medicare?
- Primary Care 360 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 Primary Care 360?
- The authorized official listed on Primary Care 360's NPPES record is Khalid Rayaz, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Primary Care 360's NPI active?
- Yes — Primary Care 360's NPI (1124678586) is active in the NPPES registry as of the last update on 2020-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.