Individual provider Active NPI

Carroll Don Johnson, M.D.

  • Family Medicine Physician
  • Atkins, AR
National Provider Identifier
1073540159
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E2435 Issued in AR
Practice address
1601 N Church St
Atkins, AR 72823-3234
Phone
(479) 480-4066
NPI assigned
Jun 26, 2006
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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 E2435 AR Primary

Addresses

Primary practice location

1601 N Church St
Atkins, AR 72823-3234

Mailing address

PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534

Other identifiers 2

IdentifierTypeStateIssuer
1424420001MedicaidAR
5L735OtherARBCBS

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
I20251122000226 AR Practitioner - General Practice 9739246877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Kentucky College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ArcareGroup PAC ID 2567370620, 249 clinicians

Practice addresses (Care Compare)

1601 N Church St
Atkins, AR 72823-3234
Phone (479) 480-4066

623 N 9TH St
Augusta, AR 72006-2129
Phone (870) 347-2534

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E2435ARMDFamily Medicine Physician
37568FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arcare CurrentSince Oct 6, 2025 Accepting new patients
Arcare CurrentSince Oct 6, 2025 Accepting new patients

Locations

1601 N Church St
Atkins, AR 72823
Phone (479) 480-4066

623 N 9th St
#40
Augusta, AR 72006

Interoperability endpoints

  • Direct secure messaging: carroll.johnson@arcare.directbygreenway.com

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1073540159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N CHURCH ST",
            "city": "ATKINS",
            "state": "AR",
            "postal_code": "728233234",
            "telephone_number": "479-480-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CARROLL",
        "middle_name": "DON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E2435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1424420001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5L735",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atkins, AR

Sources for this page

Verify at the official NPI Registry.