Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Autumn Road Family Practice, PA

Organization Clinic/Center · NPI 1629027818

Autumn Road Family Practice, PA is a Clinic/Center in Little Rock, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.

Licensed in
AR
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

904 Autumn Rd Ste 200
Little Rock, AR 72211-3737
Phone: (501) 227-6363
Fax: (501) 227-8629
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence MC0079 (AR)

Record details

NPI number1629027818
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dawn Drennan — Administrator · (501) 626-7515
NPI enumeratedMay 8, 2006
Last updated in NPPESMay 31, 2022
Certification dateMay 31, 2022
Mailing address904 Autumn Rd, Suite 200, Little Rock, AR 72211-3737

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