Organization Active NPI

C. G. Melton, M.D.,P.a.

  • Obstetrics & Gynecology Physician
  • Batesville, AR
National Provider Identifier
1205950326
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C-5164 Issued in AR
Legal business name
C. G. MELTON, M.D.,P.A.
Practice address
305 Virginia Dr
Batesville, AR 72501-7337
Phone
(870) 698-0300
Fax
(870) 698-2924
NPI assigned
Mar 16, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Clinton G. Melton, MDNPI 1285732487
Title
President
Phone
(870) 698-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D0467720OB-GYN Center305 Virginia Dr, Batesville, AR 72501Provider-performed microscopyMar 27, 2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20080924000735 AR Part B Supplier - Clinic/Group Practice 1557438017 Receives reassigned benefits from 2 practitioners
Practice locations: Batesville, AR

National Provider Directory

National Provider Directory

Locations

305 Virginia Dr
Batesville, AR 72501
Phone (870) 698-0300

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X C-5164 AR Primary

Addresses

NPPES NPI Registry

Primary practice location

305 Virginia Dr
Batesville, AR 72501-7337

Mailing address

PO Box 2733
Batesville, AR 72503-2733
Phone (870) 698-0300

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
110292002MedicaidAR

Other names 1

NPPES NPI Registry
  • OB-GYN Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 1, 2008.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1205950326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2733",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725032733",
            "telephone_number": "870-698-0300",
            "fax_number": "870-698-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 VIRGINIA DR",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017337",
            "telephone_number": "870-698-0300",
            "fax_number": "870-698-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. G. MELTON, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-698-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "C-5164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110292002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OB-GYN Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.