Individual provider Active NPI

Charles W Craft, DO

  • Family Medicine Physician
  • Barling, AR
National Provider Identifier
1013945138
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N-5840 Issued in AR
Practice address
7003 Chad Colley Blvd
Barling, AR 72923-3000
Phone
(479) 431-3500
Fax
(479) 452-2098
NPI assigned
Jun 29, 2006
Last updated
Mar 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N-5840 AR Primary

Addresses

Primary practice location

7003 Chad Colley Blvd
Barling, AR 72923-3000

Mailing address

7003 Chad Colley Blvd
Barling, AR 72923-3000
Phone (479) 431-3500

Other practice location 1

20 North Aster
Greenwood, AR 72936
Phone (479) 996-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091215000163 AR Practitioner - Family Practice 4385784826 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
N-5840ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities CurrentSince Nov 1, 2017 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Nov 1, 2017 Accepting new patients

Locations

7003 Chad Colley Blvd
Barling, AR 72923
Phone (479) 431-3493

6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000

7001 Rogers Ave
Fort Smith, AR 72903
Phone (479) 478-3510

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pink Bud Home for the Golden YearsGreenwood, AR, CCN 045456 Skilled nursing facility Adp of the SNF Apr 18, 2025
Area Agency on Aging of Western Arkansas, IncFort Smith, AR, CCN 041502 Hospice Corporate Director Aug 25, 2015

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1013945138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 CHAD COLLEY BLVD",
            "city": "BARLING",
            "state": "AR",
            "postal_code": "729233000",
            "telephone_number": "479-431-3500",
            "fax_number": "479-452-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 CHAD COLLEY BLVD",
            "city": "BARLING",
            "state": "AR",
            "postal_code": "729233000",
            "telephone_number": "479-431-3500",
            "fax_number": "479-452-2098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 North Aster",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "AR",
            "postal_code": "72936",
            "country_code": "US",
            "telephone_number": "479-996-4111",
            "fax_number": "479-484-4793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAFT",
        "first_name": "CHARLES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "N-5840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barling, AR

Sources for this page

Verify at the official NPI Registry.