Fair Park Medical Clinic
NPI 1740481191 · Internal Medicine Physician · Little Rock, AR
Fair Park Medical Clinic is a Internal Medicine Physician organization in Little Rock, AR (NPI 1740481191).
Provider details
- NPI number
- 1740481191
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carl Johnson, Owner(501) 663-6262
- License
- MC2208 (AR)
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
19 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
Other names (DBA / former)
- Doing business as
- Fair Park Medical Clinic
Registry dates
- Enumerated
- 2007-05-31
- Last updated
- 2020-08-22
Frequently asked questions
- What is Fair Park Medical Clinic's NPI number?
- Fair Park Medical Clinic's National Provider Identifier (NPI) is 1740481191, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fair Park Medical Clinic?
- Fair Park Medical Clinic is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Fair Park Medical Clinic located?
- Fair Park Medical Clinic's practice location on file with NPPES is 5320 W 12th St, Little Rock, AR 72204-1859.
- What is Fair Park Medical Clinic's phone number?
- The practice phone number listed in the NPPES registry for Fair Park Medical Clinic is (501) 663-6262.
- Who is the authorized official for Fair Park Medical Clinic?
- The authorized official listed on Fair Park Medical Clinic's NPPES record is Carl Johnson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fair Park Medical Clinic's NPI active?
- Yes — Fair Park Medical Clinic's NPI (1740481191) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.