OrganizationActive
Arkansas Phs PA
NPI 1194956516 · Family Medicine Physician · Bentonville, AR
Provider details
- NPI number
- 1194956516
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Provider Health Services LLC
- Organization subpart
- Yes
- Authorized official
- Nicole Howard, Cfo(337) 991-9276
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
609 Sw 8th Street
Suite 600
Bentonville, AR 72712-8913
Phone: (901) 261-4848
Fax: (901) 261-4849
Street-level locationGet directions
Mailing address
1509 Dulles Drive
Lafayette, LA 70506
Registry dates
- Enumerated
- 2009-08-03
- Last updated
- 2014-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.