NPIMap

Individual provider Active NPI

Charles William Deaton Jr., MD

  • Diagnostic Radiology Physician
  • Little Rock, AR
National Provider Identifier
1144217282
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R3975 Issued in AR
Practice address
500 S University Ave
Ste 600
Little Rock, AR 72205-5302
Phone
(501) 664-3914
Fax
(501) 664-5246
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X R3975 AR Primary
Vascular & Interventional Radiology Physician 2085R0204X R3975 AR

Addresses

Primary practice location

500 S University Ave
Ste 600
Little Rock, AR 72205-5302

Mailing address

500 S University Ave
Ste 101
Little Rock, AR 72205-5302
Phone (501) 664-3914

Other identifiers 1

IdentifierTypeStateIssuer
115746001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090107000550 AR Practitioner - Diagnostic Radiology 1355404922 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Mississippi School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHI St Vincent Medical Group Hot Springs 184 clinicians
St Vincent Medical Group 237 clinicians
Radiology Associates PA 103 clinicians

Practice addresses (Care Compare)

1 Mercy LN
Suite 404
Hot Springs, AR 71913-6441
Phone (501) 609-2222

2 Saint Vincent Cir
Little Rock, AR 72205-5423
Phone (501) 552-4666

500 S University Ave
Suite 101
Little Rock, AR 72205-5399
Phone (501) 664-3914

Hospital & facility affiliations

  • CHI-St Vincent Infirmary Hospital, Little Rock, AR, CCN 040007
  • Jefferson Regional Medical Center Hospital, Pine Bluff, AR, CCN 040071
  • Conway Regional Medical Center, Inc Hospital, Conway, AR, CCN 040029
  • CHI St. Vincent Hospital Hot Springs Hospital, Hot Springs, AR, CCN 040026
  • Arkansas Heart Hospital, LLC Hospital, Little Rock, AR, CCN 040134

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R3975ARMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHI St. Vincent Medical Group Hot Springs CurrentSince Jun 1, 2025 Accepting new patients
Radiology Associates PA Diagnostic Radiology CurrentSince Sep 21, 1989 Accepting new patients
St. Vincent Medical Group Diagnostic Radiology CurrentSince Sep 22, 2011 Accepting new patients
Pinnacle Radiology PLLC Diagnostic Radiology PastSince Oct 25, 2020 Accepting new patients

Locations

1 Mercy Ln
Ste 301
Hot Springs, AR 71913
Phone (501) 622-6556

1 Mercy Ln
Ste 201
Hot Springs National Park, AR 71913
Phone (501) 321-2229

1 Mercy Ln
Ste 404
Hot Springs National Park, AR 71913
Phone (501) 321-1026

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

500 S University Ave
Ste 600
Little Rock, AR 72205
Phone (501) 686-2688

16221 Saint Vincent Way
Little Rock, AR 72223
Phone (501) 221-0888

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

500 S University Ave
Ste 101
Little Rock, AR 72205
Phone (501) 686-2688

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1144217282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE",
            "address_2": "STE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055302",
            "telephone_number": "501-664-3914",
            "fax_number": "501-664-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE",
            "address_2": "STE 600",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055302",
            "telephone_number": "501-664-3914",
            "fax_number": "501-664-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEATON",
        "first_name": "CHARLES",
        "middle_name": "WILLIAM",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "R3975",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AR",
            "license": "R3975",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115746001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.