NPIMap

Individual provider Active NPI

Clinton G. Melton, M.D.

  • Obstetrics & Gynecology Physician
  • Batesville, AR
National Provider Identifier
1285732487
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C-5164 Issued in AR
Practice address
305 Virginia Dr
Batesville, AR 72501-7337
Phone
(870) 698-0300
Fax
(870) 698-2924
NPI assigned
Sep 20, 2006
Last updated
Nov 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X C-5164 AR Primary

Addresses

Primary practice location

305 Virginia Dr
Batesville, AR 72501-7337

Mailing address

305 Virginia Dr
Batesville, AR 72501-7337
Phone (870) 698-0300

Other identifiers 1

IdentifierTypeStateIssuer
1003500001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080924000717 AR Practitioner - Obstetrics/Gynecology 0749357291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Arkansas College of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
C. G. Melton, M.D.,P.a.Group PAC ID 1557438017, 2 clinicians

Practice addresses (Care Compare)

305 Virginia Dr
Batesville, AR 72501-7337
Phone (870) 698-0300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
C. G. Melton, M.D.,P.a. Obstetrics & Gynecology CurrentSince Jul 1, 2008 Accepting new patients

Locations

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

Organizations & group practices 1

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227225600000",
    "number": "1285732487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "last_name": "MELTON",
        "first_name": "CLINTON",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "C-5164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003500001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.