Charles Woodrow Jones Jr., M.D.
Individual provider Active NPI Family Medicine Physician · Ratcliff, AR
NPI 1124035993 · NPPES record last updated Jul 23, 2020
Key facts
- NPI
- 1124035993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- C-6627 (AR)
- Practice address
- 9755 W St Hwy 22
Ratcliff, AR 72951 - Phone
- (479) 431-2050
- Fax
- (479) 431-2051
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Arkansas College of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- River Valley Primary Care Services
Practice addresses (Care Compare)
9755 W State Hwy 22
Ratcliff, AR 72951-9000
Phone (479) 431-2050
Hospital & facility affiliations
- St Marys Regional Medical Center
- Johnson Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040512001523 | AR | Practitioner - Family Practice | 6709876873 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-6627 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Valley Primary Care Services | Current |
Accepting new patients | |
| River Valley Primary Care Services | Current |
Accepting new patients | |
| River Valley Primary Care Services | Current | Accepting new patients | |
| Dardanelle Family Clinic | Family Medicine | Past | Accepting new patients |
| River Valley Primary Care Services | Past | Accepting new patients |
Locations
1273 E Highway 64
Coal Hill, AR 72832
Phone (479) 279-7670
635 Childers Ave
Lamar, AR 72846
Phone (479) 668-4881
Interoperability endpoints
- charles.jones@cmc.eclinicaldirectplus.com
- cjones589673@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C-6627 | AR | Yes |
Addresses
Primary practice location
9755 W St Hwy 22
Ratcliff, AR 72951
Mailing address
PO Box 130
Ratcliff, AR 72951
Phone (479) 431-2050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111705001 | Medicaid | AR |
Other providers in Ratcliff, AR
- Donald William Burns
- Wendy A. Gaston
- Michael L Guyer
- Lauren Ashley Hall
- John Benjamin Jacobs
- Thomas Donovan Kiefer
- Glenda Marie King
- Jonathan James Larsen
- Charles D Parker
- April Revis
All providers in Ratcliff, AR · Family Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.