OrganizationActive
Med79
NPI 1356117626 · Family Medicine Physician · Pine Bluff, AR
Med79 is a Family Medicine Physician organization in Pine Bluff, AR (NPI 1356117626).
Provider details
- NPI number
- 1356117626
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christopher Mcdaniel, Ceo(501) 804-5628
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(57/100 index)
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
2304 W 29th Ave
Pine Bluff, AR 71603-5005
Phone: (501) 804-5628
Street-level locationGet directions
Mailing address
3805 Winters Pl
Pine Bluff, AR 71603-6413
Registry dates
- Enumerated
- 2023-11-28
- Last updated
- 2023-11-28
- Certified
- 2023-11-28
Frequently asked questions
- What is Med79's NPI number?
- Med79's National Provider Identifier (NPI) is 1356117626, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Med79?
- Med79 is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Med79 located?
- Med79's practice location on file with NPPES is 2304 W 29th Ave, Pine Bluff, AR 71603-5005.
- What is Med79's phone number?
- The practice phone number listed in the NPPES registry for Med79 is (501) 804-5628.
- Who is the authorized official for Med79?
- The authorized official listed on Med79's NPPES record is Christopher Mcdaniel, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Med79's NPI active?
- Yes — Med79's NPI (1356117626) is active in the NPPES registry as of the last update on 2023-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.