Carolyn R Reeves, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E6133 Issued in AR

Practice address

1415 E Centerton Blvd
Centerton, AR 72719-7050

Phone

(479) 224-1565

Fax

(844) 758-8644

NPI assigned

Jul 24, 2007

Last updated

Jul 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carolyn.reeves.1@16860.direct.athenahealth.com
• Direct secure messaging: carolyn.reeves@16860.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/16860/brand/1/csg/1/fhir/r4

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• Circle of Life

  dba Circle of Life Hospice

  • Community Based Hospice Care Agency
  • Springdale, AR
  • NPI 1386755460

  Contracted Managing Employee

  CMS ownership

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.

• Reeves Medical Associates, PLLC

  dba ReevesMed

  • Internal Medicine Physician
  • Centerton, AR
  • NPI 1568975761
  Medicare reassignment NPD Authorized official
• Advanced Aesthetics & Wellness Center PA, Earlmd Family Medicine PA

  • Family Medicine Physician
  • Bentonville, AR
  • NPI 1811135809
  NPD (past)
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1124228382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 E CENTERON BLVD",
            "city": "CENTERON",
            "state": "AR",
            "postal_code": "72719",
            "telephone_number": "479-224-1565",
            "fax_number": "844-758-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 E CENTERTON BLVD",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "727197050",
            "telephone_number": "479-224-1565",
            "fax_number": "844-758-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "CAROLYN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2006018887",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "AR",
            "license": "E6133",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E6133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carolyn.reeves@16860.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMV",
            "address_1": "1415 E Centeron Blvd",
            "city": "Centeron",
            "state": "AR",
            "country_code": "US",
            "postal_code": "72719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrew Jason Phipps, D.D.S
• Eric Alan Phipps, D.C.
• Ronny Gene Phipps, MD
• Purple W.I.N.G.S Counseling Services, LLC
• Reeves Medical Associates, PLLC (ReevesMed)
• Joshua Daniel Reeves, DC
• Christy Lee Richard, APRN, FNP
• Micah Scudder, D.C.
• Serc Rehabilitation Partners LLC
• Corey Blake Simpson, PT, DPT

• Internal Medicine Physician in Centerton, AR
• Providers in Centerton, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.