OrganizationActive
Petty Medical Clinic, LLC
NPI 1255746772 · Primary Care Clinic/Center · Lowell, AR
Petty Medical Clinic, LLC is a Primary Care Clinic/Center organization in Lowell, AR (NPI 1255746772).
Provider details
- NPI number
- 1255746772
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Corwin Petty, Physician / Owner(479) 502-4435
- License
- E2717 (AR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
114 Harrison Ave
Suite C
Lowell, AR 72745-9047
Phone: (479) 254-1005
Fax: (479) 668-4003
Street-level locationGet directions
Mailing address
114 Harrison Ave
Lowell, AR 72745-9047
Registry dates
- Enumerated
- 2014-06-23
- Last updated
- 2014-06-23
Frequently asked questions
- What is Petty Medical Clinic, LLC's NPI number?
- Petty Medical Clinic, LLC's National Provider Identifier (NPI) is 1255746772, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Petty Medical Clinic, LLC?
- Petty Medical Clinic, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Petty Medical Clinic, LLC located?
- Petty Medical Clinic, LLC's practice location on file with NPPES is 114 Harrison Ave, Lowell, AR 72745-9047.
- What is Petty Medical Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Petty Medical Clinic, LLC is (479) 254-1005.
- Who is the authorized official for Petty Medical Clinic, LLC?
- The authorized official listed on Petty Medical Clinic, LLC's NPPES record is Corwin Petty, Physician / Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Petty Medical Clinic, LLC's NPI active?
- Yes — Petty Medical Clinic, LLC's NPI (1255746772) is active in the NPPES registry as of the last update on 2014-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.