OrganizationActive
Full Potential
NPI 1427379387 · Primary Care Clinic/Center · Little Rock, AR
Provider details
- NPI number
- 1427379387
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kirk Wilson, President/ Owner(501) 374-0360
- License
- 27063 (AR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 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
8109 Interstate 30
Little Rock, AR 72209-4840
Phone: (501) 374-0360
Fax: (501) 374-0395
Approximate (ZIP-level) locationGet directions
Mailing address
8109 Interstate 30 St
Little Rock, AR 72209
Registry dates
- Enumerated
- 2010-06-15
- Last updated
- 2010-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.