Active NPI
Charles Clifford Wright Jr., MD
- Urology Physician
- Hot Springs, AR
National Provider Identifier
1184609729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- C5463
- Practice address
- 1 Mercy LN Ste 200a
Hot Springs, AR 71913-6457 - Phone
- (501) 525-4555
- Fax
- (501) 525-4685
- NPI assigned
- Dec 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | C5463 | AR | Primary |
Addresses
Primary practice location
1 Mercy LN Ste 200a
Hot Springs, AR 71913-6457
Mailing address
PO Box 749495
Atlanta, GA 30374-9495
Phone (855) 963-2100
Other practice location 1
1662 Higdon Ferry Rd
Suite 140
Hot Springs, AR 71913-6999
Phone (501) 525-4555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103017001 | Medicaid | AR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Arkansas College of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Mercy LN
Suite 200a
Hot Springs, AR 71913-6457
Phone (501) 525-4555
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5463 | AR | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Oncology Partners PA | Current | Accepting new patients | |
| Healthfirst Physicians of Arkansas, P. a. | Past | Accepting new patients |
Locations
2910 Cypress Rd
Arkadelphia, AR 71923
Phone (501) 624-7700
1 Mercy Ln
Ste 200A
Hot Springs National Park, AR 71913
130 Medical Cir
Nashville, AR 71852
Phone (501) 624-7700
Interoperability endpoints
- cwright174711@directb.mercy.net
Organizations & group practices 2
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.
-
- Specialist
- Hot Springs, AR
- NPI 1548200330
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hot Springs, AR
- NPI 1316144546
-
- General Practice Physician
- Hot Springs, AR
- NPI 1497880124
Hospital
-
- Psychiatric Hospital Unit
- Hot Springs, AR
- NPI 1619915949
-
- General Acute Care Hospital
- Hot Springs, AR
- NPI 1689628232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1184609729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749495",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303749495",
"telephone_number": "855-963-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MERCY LN STE 200A",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719136457",
"telephone_number": "501-525-4555",
"fax_number": "501-525-4685"
}
],
"practiceLocations": [
{
"address_1": "1662 Higdon Ferry Rd",
"address_2": "Suite 140",
"address_purpose": "LOCATION",
"city": "Hot Springs",
"state": "AR",
"postal_code": "719136999",
"country_code": "US",
"telephone_number": "501-525-4555",
"fax_number": "501-623-2296",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WRIGHT",
"first_name": "CHARLES",
"middle_name": "CLIFFORD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AR",
"license": "C5463",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103017001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.