Individual provider Active NPI

James William Chambliss, M.D.

  • Family Medicine Physician
  • Magnolia, AR
National Provider Identifier
1285856971
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AR-E-5146 Issued in AR
Practice address
1701 E North St
Magnolia, AR 71753-3204
Phone
(870) 234-3802
Fax
(870) 234-7386
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E5146 AR
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X AR-E-5146 AR Primary

Addresses

Primary practice location

1701 E North St
Magnolia, AR 71753-3204

Mailing address

1701 E North St
Magnolia, AR 71753-3204
Phone (870) 234-3802

Other identifiers 1

IdentifierTypeStateIssuer
166053001MedicaidAR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070828000605 AR Practitioner - Family Practice 1850483363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1701 E N St
Magnolia, AR 71753-3204
Phone (870) 234-3802

Hospital & facility affiliations

  • Encompass Health Home Health Home health agency, Texarkana, AR, CCN 047168
  • Magnolia Home Health Agency Home health agency, Magnolia, AR, CCN 047081
  • Enhabit Hospice Hospice, Magnolia, AR, CCN 041573
  • Magnolia Regional Medical Center Hospital, Magnolia, AR, CCN 041336
  • Magnolia Regional Medical Center Hospital, Magnolia, AR, CCN 040067
  • South Arkansas Regional Hospital LLC Hospital, El Dorado, AR, CCN 040088
  • The Green House Cottages of Wentworth Place Nursing home, Magnolia, AR, CCN 045187
  • Summit Health & Rehab Center Nursing home, Taylor, AR, CCN 045411

Merit-based Incentive Payment System (MIPS)

Final score
31.05 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
77.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions17
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AR-E-5146ARMDFamily Medicine Physician
E5146ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James Chambliss MD Single Specialty CurrentSince Jul 28, 2008 Accepting new patients

Locations

1701 E North St
Magnolia, AR 71753
Phone (870) 234-3802

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Enhabit HospiceMagnolia, AR, CCN 041573 Hospice W-2 Managing Employee Aug 1, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1285856971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E NORTH ST",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717533204",
            "telephone_number": "870-234-3802",
            "fax_number": "870-234-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E NORTH ST",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717533204",
            "telephone_number": "870-234-3802",
            "fax_number": "870-234-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBLISS",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E5146",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "AR-E-5146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166053001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, AR

Sources for this page

Verify at the official NPI Registry.