Healthcare Provider Details

I. General information

NPI: 1740912799
Provider Name (Legal Business Name): ARKANSAS CHILDREN'S MEDICAL GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2022
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 S 52ND ST STE 200
ROGERS AR
72758-8640
US

IV. Provider business mailing address

1 CHILDRENS WAY # 844
LITTLE ROCK AR
72202-3500
US

V. Phone/Fax

Practice location:
  • Phone: 479-254-1100
  • Fax: 479-254-2997
Mailing address:
  • Phone: 501-364-2090
  • Fax: 501-364-3929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT S. WILLIAMS
Title or Position: PRESIDENT
Credential: MD
Phone: 501-364-2090