NPIMap

Individual provider Active NPI

Dale E Goins, MD

  • Family Medicine Physician
  • Hope, AR
National Provider Identifier
1063402485
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C5744 Issued in AR
Practice address
302 E 20TH St
Hope, AR 71801-8217
Phone
(870) 777-8975
Fax
(870) 777-8294
NPI assigned
Oct 26, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 C5744 AR Primary

Addresses

Primary practice location

302 E 20TH St
Hope, AR 71801-8217

Mailing address

PO Box 1447
Hope, AR 71802-1447
Phone (870) 777-8475

Other identifiers 5

IdentifierTypeStateIssuer
51920OtherBLUE CROSS
710614761OtherTRICARE
14169000001OtherQUAL CHOICE
102-612-001MedicaidAR
080178792OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101203000811 AR Practitioner - Family PracticePractitioner - Geriatric Medicine 8921295809 Reassigns benefits to 5 organizations
Practice locations: Hope, AR

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

405 W 16TH St
Hope, AR 71801-7104
Phone (870) 994-7301

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C5744ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Clinic Arkansas LLC Family Medicine CurrentSince Feb 2, 2022 Accepting new patients
Physician Group of Arkansas, Inc. CurrentSince Mar 1, 2022 Accepting new patients
Southwest Arkansas Regional Medical Center, LLC CurrentSince Aug 9, 2025 Accepting new patients
Access Medical Clinic Arkansas LLC Family Medicine CurrentSince Feb 2, 2022 Accepting new patients
Southwest Arkansas Regional Medical Center, LLC Past Accepting new patients
Hope Medical Park Hospital Past Accepting new patients
Signature Medical Park Hospital LLC Family Medicine Past Accepting new patients

Locations

16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706

2001 S Main St
Hope, AR 71801
Phone (870) 722-3800

2001 S Main St
Ste 6
Hope, AR 71801
Phone (870) 722-2448

302 Bill Clinton Dr
Ste B
Hope, AR 71801
Phone (870) 722-5011

405 W 16th St
Hope, AR 71801
Phone (870) 777-0007

106 Highway 62 W
Salem, AR 72576
Phone (870) 895-2762

Interoperability endpoints

  • Direct secure messaging: dale.goins.1@15024.direct.athenahealth.com
  • Direct secure messaging: dale.goins@phsi-ar.direct.office.nextgen.com
  • FHIR API: https://api.platform.athenahealth.com/15024/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Heather Manor Nursing and Rehabilitation CenterHope, AR, CCN 045337 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 10, 2024
Dec 10, 2024

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 8

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063402485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1447",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718021447",
            "telephone_number": "870-777-8475",
            "fax_number": "870-777-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E 20TH ST",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718018217",
            "telephone_number": "870-777-8975",
            "fax_number": "870-777-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOINS",
        "first_name": "DALE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C5744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51920",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "710614761",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE",
            "identifier": "14169000001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102-612-001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080178792",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hope, AR

Sources for this page

Verify at the official NPI Registry.