Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Corwin D. Petty, MD, PA

Family Medicine Physician in Rogers, AR · enumerated 2008 · authorized official Corwin Petty, Owner / Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1881859593

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Registry record

Entity type Organization (Type 2)

Legal business name Corwin D. Petty, MD, PA

Parent organization Petty Medical Clinic

Practice address 3201 S Market St Ste 105, Rogers, AR, 72758

Phone (479) 254-1005

Fax (479) 668-4003

Enumeration date Jul 22, 2008

Last updated in NPPES Apr 4, 2018

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Corwin Petty

Title Owner / Physician

Phone (479) 254-1005

Other identifiers

Identifier	Type	State	Issuer
5C680	Other	AR	BLUE CROSS BLUE SHIELD
149427002	Medicaid	AR	-

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.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-04-04. Verify at npiregistry.cms.hhs.gov.

Where is Corwin D. Petty, MD, PA located?

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

Providers at this address

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Corwin Petty Family Medicine Physician · Rogers, AR NPI 1295735959

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-04-04.