Individual provider Active NPI

Charles Woodrow Jones Jr., M.D.

  • Family Medicine Physician
  • Ratcliff, AR
National Provider Identifier
1124035993
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C-6627 Issued in AR
Practice address
9755 W St Hwy 22
Ratcliff, AR 72951
Phone
(479) 431-2050
Fax
(479) 431-2051
NPI assigned
Aug 2, 2006
Last updated
Jul 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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 C-6627 AR Primary

Addresses

Primary practice location

9755 W St Hwy 22
Ratcliff, AR 72951

Mailing address

PO Box 130
Ratcliff, AR 72951
Phone (479) 431-2050

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
I20040512001523 AR Practitioner - Family Practice 6709876873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9755 W State Hwy 22
Ratcliff, AR 72951-9000
Phone (479) 431-2050

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Primary Care Services CurrentSince Jan 19, 2020 Accepting new patients
River Valley Primary Care Services CurrentSince Jan 19, 2020 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

  • Direct secure messaging: charles.jones@cmc.eclinicaldirectplus.com
  • Direct secure messaging: cjones589673@direct.ochin.org

Organizations & group practices 5

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 2

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1124035993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "RATCLIFF",
            "state": "AR",
            "postal_code": "72951",
            "telephone_number": "479-431-2050",
            "fax_number": "479-431-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9755 W ST HWY 22",
            "city": "RATCLIFF",
            "state": "AR",
            "postal_code": "72951",
            "telephone_number": "479-431-2050",
            "fax_number": "479-431-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CHARLES",
        "middle_name": "WOODROW",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C-6627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ratcliff, AR

Sources for this page

Verify at the official NPI Registry.