NPIMap

Organization Active NPI

Carroll Family Practice

  • Family Medicine Physician
  • Clinton, AR
National Provider Identifier
1093091209
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C8231 Issued in AR
Legal business name
CARROLL FAMILY PRACTICE
Practice address
244 Highway 65 N
Suite 1
Clinton, AR 72031-6390
Phone
(501) 745-6100
Fax
(501) 745-6128
NPI assigned
Nov 1, 2011
Last updated
Nov 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Authorized official

Name
Dr. Barry Scott Carroll, M.D.NPI 1669477469
Title
Physician
Phone
(501) 745-6100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C8231 AR Primary

Addresses

Primary practice location

244 Highway 65 N
Suite 1
Clinton, AR 72031-6390

Mailing address

PO Box 808
Clinton, AR 72031-0808
Phone (501) 745-6100

Other identifiers 4

IdentifierTypeStateIssuer
P00014280OtherARRAILROAD PIN
124580001MedicaidAR
5J262B477OtherARMEDICARE PIN
5J262OtherARBLUECROSS ARKANSAS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1093091209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "720310808",
            "telephone_number": "501-745-6100",
            "fax_number": "501-745-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 HIGHWAY 65 N",
            "address_2": "SUITE 1",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "720316390",
            "telephone_number": "501-745-6100",
            "fax_number": "501-745-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "501-745-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C8231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PIN",
            "identifier": "P00014280",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124580001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "5J262B477",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS ARKANSAS",
            "identifier": "5J262",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.