Active NPI
C. G. Melton, M.D.,P.a.
- Obstetrics & Gynecology Physician
- Batesville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- C-5164
- 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, MD
- 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.
-
- Obstetrics & Gynecology Physician
- Batesville, AR
- NPI 1285732487
AR, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Batesville, AR
- NPI 1356543177
AR, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Savannah, GA
- NPI 1710066097
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Savannah, GA
- NPI 1295814432
Obstetrics & Gynecology
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D0467720 | OB-GYN Center | Provider-performed microscopy | Mar 27, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080924000735 | AR | Part B Supplier - Clinic/Group Practice | 1557438017 |
Receives reassigned benefits from 2 practitioners Practice locations: Batesville, AR |
National Provider Directory
National Provider DirectoryLocations
305 Virginia Dr
Batesville, AR 72501
Phone (870) 698-0300
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | C-5164 | AR | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110292002 | Medicaid | AR |
Other names 1
NPPES NPI Registry- OB-GYN Center
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.