Individual provider Active NPI

Graham Campbell, MD

  • Radiation Oncology Physician
  • Conway, AR
National Provider Identifier
1194287482
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
E-17824 Issued in AR
Practice address
2605 College Ave
Conway, AR 72034-6133
Phone
(501) 906-3000
Fax
(501) 907-6522
NPI assigned
Apr 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 76075 WI
General Practice Physician 208D00000X 76075 WI
Student in an Organized Health Care Education/Training Program 390200000X
Radiation Oncology Physician 2085R0001X E-17824 AR Primary

Addresses

Primary practice location

2605 College Ave
Conway, AR 72034-6133

Mailing address

PO Box 55050
Little Rock, AR 72215-5050
Phone (501) 906-3000

Other practice location 1

8901 Carti Way
Little Rock, AR 72205-6523
Phone (501) 906-3000

Other practice location 2

1601 N West Ave
El Dorado, AR 71730-3859
Phone (501) 906-3000

Other practice location 3

5001 Bobo Rd
Pine Bluff, AR 71603-7205
Phone (501) 906-3000

Other practice location 4

405 Rodgers Dr
Searcy, AR 72143-7434
Phone (501) 906-3000

Other practice location 5

3400 Springhill Dr
North Little Rock, AR 72117-2923
Phone (501) 906-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221109002055 IL Practitioner - Radiation Oncology 4880926021 Reassigns benefits to 1 organization
I20240708000202 AR Practitioner - Radiation Oncology 4880926021 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carti Oncology Solutions LLCGroup PAC ID 3173694619, 13 clinicians

Practice addresses (Care Compare)

2605 College Ave
Conway, AR 72034-6133
Phone (501) 329-4741

Hospital & facility affiliations

  • Conway Regional Medical Center, Inc Hospital, Conway, AR, CCN 040029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-17824ARMDRadiation Oncology Physician
76075WIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RMH Pathologists, LTD Current Accepting new patients
Rockford Health Physicians CurrentSince Aug 18, 2022 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc CurrentSince Aug 5, 2024 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
Mercy Health System Corporation CurrentSince Jun 6, 2022 Accepting new patients
Mercy Health System Corporation CurrentSince Jun 6, 2022 Accepting new patients
Carti Oncology Solutions LLC Radiation Oncology CurrentSince Aug 5, 2024 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc Radiation Oncology CurrentSince Aug 5, 2024 Accepting new patients

Locations

2605 College Ave
Conway, AR 72034
Phone (501) 327-2995

1601 N West Ave
El Dorado, AR 71730

9500 Kanis Rd
Little Rock, AR 72205
Phone (501) 202-4244

4 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 296-3273

8901 Carti Way
Little Rock, AR 72205
Phone 50190630003044

3400 Springhill Dr
North Little Rock, AR 72117
Phone (501) 603-8894

5001 Bobo Rd
Pine Bluff, AR 71603

405 Rodgers Dr
Searcy, AR 72143
Phone (501) 268-7870

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

Organizations & group practices 8

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 6

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": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1194287482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55050",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722155050",
            "telephone_number": "501-906-3000",
            "fax_number": "501-907-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346133",
            "telephone_number": "501-906-3000",
            "fax_number": "501-907-6522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8901 Carti Way",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722056523",
            "country_code": "US",
            "telephone_number": "501-906-3000",
            "fax_number": "501-907-6522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 N West Ave",
            "address_purpose": "LOCATION",
            "city": "El Dorado",
            "state": "AR",
            "postal_code": "717303859",
            "country_code": "US",
            "telephone_number": "501-906-3000",
            "fax_number": "501-907-6522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5001 Bobo Rd",
            "address_purpose": "LOCATION",
            "city": "Pine Bluff",
            "state": "AR",
            "postal_code": "716037205",
            "country_code": "US",
            "telephone_number": "501-906-3000",
            "fax_number": "501-907-6522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Rodgers Dr",
            "address_purpose": "LOCATION",
            "city": "Searcy",
            "state": "AR",
            "postal_code": "721437434",
            "country_code": "US",
            "telephone_number": "501-906-3000",
            "fax_number": "501-907-6522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Springhill Dr",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721172923",
            "country_code": "US",
            "telephone_number": "501-906-3000",
            "fax_number": "501-907-6522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "GRAHAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-04",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WI",
            "license": "76075",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "76075",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AR",
            "license": "E-17824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.