NPIMap

Individual provider Active NPI

Jim Carmical, MD

  • Family Medicine Physician
  • Monticello, AR
National Provider Identifier
1194145607
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-10738 Issued in AR
Practice address
940 Old Warren Rd
Monticello, AR 71655-9717
Phone
(870) 224-4411
Fax
(870) 224-0925
NPI assigned
Apr 23, 2014
Last updated
Aug 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Q8846 TX
Emergency Medicine Physician 207P00000X E-10738 AR
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X E-10738 AR Primary

Addresses

Primary practice location

940 Old Warren Rd
Monticello, AR 71655-9717

Mailing address

940 Old Warren Rd
Monticello, AR 71655-9717
Phone (870) 224-4411

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
I20171107000625 AR Practitioner - Family PracticePractitioner - Emergency Medicine 6103105119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Arkansas College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carmical Medical PLLCGroup PAC ID 3971909805, 8 clinicians

Practice addresses (Care Compare)

940 Old Warren Rd
Monticello, AR 71655-9717
Phone (870) 224-4411

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monticello Ess LLC Emergency Medicine CurrentSince Sep 29, 2017 Accepting new patients
Monticello Medical Clinic PLC Family Medicine CurrentSince Jan 7, 2020 Accepting new patients
Carmical Medical PLLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411

906 Roberts Dr
Monticello, AR 71655
Phone (870) 367-6867

940 Old Warren Rd
Monticello, AR 71655
Phone (870) 224-4411

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23773/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jcarmical407638@direct.baptist-healthar.org
  • Direct secure messaging: jim.carmical.1@23773.direct.athenahealth.com

Organizations & group practices 3

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 8

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": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1194145607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 OLD WARREN RD",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716559717",
            "telephone_number": "870-224-4411",
            "fax_number": "817-702-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 OLD WARREN RD",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716559717",
            "telephone_number": "870-224-4411",
            "fax_number": "870-224-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMICAL",
        "first_name": "JIM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q8846",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-10738",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-10738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, AR

Sources for this page

Verify at the official NPI Registry.