Active NPI
Christopher B Skelley, M.D.
- Internal Medicine Physician
- Bryant, AR
National Provider Identifier
1215905575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E3094
- Practice address
- 319 Bryant Ave
Suite 1
Bryant, AR 72022-3815 - Phone
- (501) 653-0353
- Fax
- (501) 653-0347
- NPI assigned
- Mar 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E3094 | AR | Primary |
Addresses
Primary practice location
319 Bryant Ave
Suite 1
Bryant, AR 72022-3815
Mailing address
PO Box 1615
Searcy, AR 72145-1615
Phone (501) 776-6093
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146305001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050406001233 | AR | Practitioner - Internal Medicine | 5496702805 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Arkansas College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Saline Clinics LLC
Practice addresses (Care Compare)
3412 Market Place Ave
B Bryant Medical Clinic
Bryant, AR 72022-8054
Phone (501) 653-0353
Hospital & facility affiliations
- Saline Memorial Home Health
- Elite Home Health
- Centerwell Home Health
- Baptist Health Home Health-LR
- Hospice Home Care LLC
- Saline Memorial Hospital
- Baptist Health Medical Center-Little Rock
- Arkansas Heart Hospital-Encore
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3094 | AR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saline Clinics LLC | Internal Medicine | Current | Accepting new patients |
| Saline Physician Services, LLC | Internal Medicine | Past | Accepting new patients |
| Central Arkansas Spine Specialist | Past | Accepting new patients |
Locations
910 N East St
Benton, AR 72015
Phone (501) 381-2001
5 Medical Park Dr
Ste 305
Benton, AR 72015
Phone (501) 574-7400
3412 Market Place Ave
#B
Bryant, AR 72022
Phone (501) 653-0353
1 Medical Park Dr
Bryant, AR 72015
Phone (501) 776-6000
3412 Market Place Ave
Ste B
Bryant, AR 72022
Interoperability endpoints
- christopher.skelley.1@16686.direct.athenahealth.com
- https://api.platform.athenahealth.com/16686/brand/1/csg/1/fhir/r4
- christopherskelley-mmbmc@direct.medalliesmail.com
- admin@bryantmedical.e-mdsdirect.com
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- Benton, AR
- NPI 1205280138
-
- Internal Medicine Physician
- Bryant, AR
- NPI 1144559287
Internal Medicine
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hot Springs, AR
- NPI 1790724102
-
- Home Health Agency
- Bryant, AR
- NPI 1164071395
-
- Home Health Agency
- Little Rock, AR
- NPI 1134225451
-
- Home Health Agency
- Little Rock, AR
- NPI 1093747347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403481600000",
"number": "1215905575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1615",
"city": "SEARCY",
"state": "AR",
"postal_code": "721451615",
"telephone_number": "501-776-6093",
"fax_number": "501-776-6019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 BRYANT AVE",
"address_2": "SUITE 1",
"city": "BRYANT",
"state": "AR",
"postal_code": "720223815",
"telephone_number": "501-653-0353",
"fax_number": "501-653-0347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKELLEY",
"first_name": "CHRISTOPHER",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2014-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E3094",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146305001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bryant, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.