Jim Carmical, MD
Individual provider Active NPI Family Medicine Physician · Monticello, AR
NPI 1194145607 · NPPES record last updated Aug 11, 2023
Key facts
- NPI
- 1194145607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- E-10738 (AR)
- Practice address
- 940 Old Warren Rd
Monticello, AR 71655-9717 - Phone
- (870) 224-4411
- Fax
- (870) 224-0925
- NPI assigned
- Apr 23, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Arkansas College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carmical Medical PLLC
Practice addresses (Care Compare)
940 Old Warren Rd
Monticello, AR 71655-9717
Phone (870) 224-4411
Hospital & facility affiliations
- Baptist Health Home Health Network-Drew County
- Kindred at Home
- Acmc Family Home Health
- Baptist Health Medical Center-Drew County
- Ashley County Medical Center
- Baptist Health Medical Center-Little Rock
- Bradley County Medical Center
- Jefferson Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 17 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171107000625 | AR | Practitioner - Family Practice |
6103105119 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monticello Ess LLC | Emergency Medicine | Current |
Accepting new patients |
| Carmical Medical PLLC | Current |
Accepting new patients | |
| Monticello Medical Clinic PLC | Family Medicine | Current |
Accepting new patients |
Locations
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
906 Roberts Dr
Monticello, AR 71655
Phone (870) 367-6867
778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411
940 Old Warren Rd
Monticello, AR 71655
Phone (870) 224-4411
Interoperability endpoints
- https://api.platform.athenahealth.com/23773/brand/1/csg/1/fhir/r4
- jim.carmical.1@23773.direct.athenahealth.com
- jcarmical407638@direct.baptist-healthar.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 | Yes |
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
Other providers in Monticello, AR
- Mary Caldwell
- Kelbe Callaway
- Darnell Canady
- Caring Hearts Healthcare Agency Inc
- Carmical Medical PLLC
- Katelyn Halie Carmical
- Ben Choate Carpenter
- Jeanie Sue Cater
- Centers for Youth and Families, Inc
- Alexee Chambers
All providers in Monticello, AR · Family Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.