Med79

Med79 is a healthcare organization registered as Family Medicine Physician in Pine Bluff, AR, holding Type 2 (organization) NPI 1356117626 since 2023. The authorized official on file is Christopher Mcdaniel, Ceo.

✓ Active NPI ✓ Valid NPI checksum

NPI	1356117626
Entity type	Organization (Type 2)
Legal business name	Med79
Practice address	2304 W 29TH AVE, Pine Bluff, AR, 71603
Phone	5018045628
Enumeration date	2023-11-28
Last updated in NPPES	2023-11-28

Authorized official

Name	Christopher Mcdaniel
Title	Ceo
Phone	5018045628

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
207Q00000X	Family Medicine Physician	Primary	—	—

Copy-ready billing details

Provider: Med79
NPI: 1356117626
Taxonomy: 207Q00000X (Family Medicine Physician)
Address: 2304 W 29TH AVE, Pine Bluff, AR, 71603

Providers at this address

NPI	Name	Type	Specialty	Location
1952546194	Karen Appleget	Individual	Mental Health Counselor	Pine Bluff, AR
1538553896	Roger Cameron	Individual	Addiction (Substance Use Disorder) Counselor	Pine Bluff, AR
1962896217	Madeline Fults	Individual	Addiction (Substance Use Disorder) Counselor	Pine Bluff, AR
1225422561	Scott Mabry	Individual	Addiction (Substance Use Disorder) Counselor	Pine Bluff, AR
1013461987	Jefferson Comprehensive Counseling Associates	Organization	Substance Use Disorder Rehabilitation Clinic/Center	Pine Bluff, AR

Verify this record

Cross-check NPI 1356117626 against the authoritative CMS record: view Med79 on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Med79 located?

The practice location on file with NPPES is in Pine Bluff, AR.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-11-28. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-11-28.