Russellville Pediatric & Adolescent Clinic, PA
NPI 1134637556 · Pediatrics Physician · Russellville, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Russellville Pediatric & Adolescent Clinic, PA is a Pediatrics Physician organization in Russellville, AR (NPI 1134637556).
Provider details
- NPI number
- 1134637556
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Neylon Pilkington, Partner/Owner(479) 857-2001
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
8 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
- 2018-01-19
- Last updated
- 2018-01-19
Frequently asked questions
- What is Russellville Pediatric & Adolescent Clinic, PA's NPI number?
- Russellville Pediatric & Adolescent Clinic, PA's National Provider Identifier (NPI) is 1134637556, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Russellville Pediatric & Adolescent Clinic, PA?
- Russellville Pediatric & Adolescent Clinic, PA is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Russellville Pediatric & Adolescent Clinic, PA located?
- Russellville Pediatric & Adolescent Clinic, PA's practice location on file with NPPES is 220 N Sidney Ave, Russellville, AR 72801-4389.
- What is Russellville Pediatric & Adolescent Clinic, PA's phone number?
- The practice phone number listed in the NPPES registry for Russellville Pediatric & Adolescent Clinic, PA is (479) 498-0858.
- Does Russellville Pediatric & Adolescent Clinic, PA accept Medicare?
- Russellville Pediatric & Adolescent Clinic, PA 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 Russellville Pediatric & Adolescent Clinic, PA?
- The authorized official listed on Russellville Pediatric & Adolescent Clinic, PA's NPPES record is Neylon Pilkington, Partner/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Russellville Pediatric & Adolescent Clinic, PA's NPI active?
- Yes — Russellville Pediatric & Adolescent Clinic, PA's NPI (1134637556) is active in the NPPES registry as of the last update on 2018-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.