Philip Allen Childers, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PI2017-049 Issued in AR

Practice address

1300 Centerview Dr
Little Rock, AR 72211-4349

Phone

(501) 219-8900

Fax

(501) 410-1145

NPI assigned

Oct 17, 2017

Last updated

Sep 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arkansas Urology, P.a.Group PAC ID 4082502547, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Arkansas Regional Hospital LLC Hospital, El Dorado, AR, CCN 040088
• Ashley County Medical Center Hospital, Crossett, AR, CCN 041323
• Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114
• Ouachita County Medical Center Hospital, Camden, AR, CCN 040050
• Magnolia Regional Medical Center Hospital, Magnolia, AR, CCN 041336

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: philip.childers.1@10448.direct.athenahealth.com

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.

• Arkansas Urology, P.a.

  • Urology Physician
  • Little Rock, AR
  • NPI 1093720443
  Medicare reassignment Care Compare group
• Arkansas Urology, P.a.

  • Urology Physician
  • El Dorado, AR
  • NPI 1417829839
  NPD (past)

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

• Baptist Health

  dba Baptist Health Medical Center-Little Rock

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1043240682
  Care Compare affiliation
• Crossett Health Foundation

  dba Ashley County Medical Center

  • Critical Access Hospital
  • Crossett, AR
  • NPI 1952308215
  Care Compare affiliation
• Magnolia Regional Health System Inc

  dba Magnolia Regional Medical Center

  • Critical Access Hospital
  • Magnolia, AR
  • NPI 1700407541
  Care Compare affiliation
• South Arkansas Regional Hospital LLC

  • General Acute Care Hospital
  • El Dorado, AR
  • NPI 1780375592
  Care Compare affiliation

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1205347390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CENTERVIEW DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114349",
            "telephone_number": "501-219-8900",
            "fax_number": "501-410-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CENTERVIEW DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114349",
            "telephone_number": "501-219-8900",
            "fax_number": "501-410-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "PHILIP",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PI2017-049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chibyke Ventures
• Chief Stats Inc
• Kevin Chien
• Hayden James Chighizola, D.C.
• Katelyn Childers, MD
• Stacey Childres, BCBA
• Deborah Kaye Childress, RN
• Joy Angela Childress, APN
• Megan E Childress
• Collin Chiles

• Physician Assistant in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.

Verify at the official NPI Registry.