Individual provider Active NPI

Charles Irving Jones III, MD

  • Orthopaedic Surgery Physician
  • Bentonville, AR
National Provider Identifier
1295978443
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
E-9376 Issued in AR
Practice address
2900 Medical Center Pkwy Ste 300
Bentonville, AR 72712-3214
Phone
(479) 553-3360
Fax
(479) 553-1911
NPI assigned
Apr 16, 2009
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X E-9376 AR Primary

Addresses

Primary practice location

2900 Medical Center Pkwy Ste 300
Bentonville, AR 72712-3214

Mailing address

2900 Medical Center Pkwy Ste 300
Bentonville, AR 72712-3214
Phone (479) 553-3360

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
I20151005000409 AR Practitioner - Orthopedic Surgery 5193033538 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Arkansas College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Benton County Physician Services LLCGroup PAC ID 3577503689, 36 clinicians

Practice addresses (Care Compare)

101 Sun Meadow Dr
Centerton, AR 72719-9610
Phone (479) 795-0426

2900 Medical Ctr Pkwy
Bentonville, AR 72712-3214

3000 Medical Ctr Pkwy
Bentonville, AR 72712-3217
Phone (479) 757-8099

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion134
Laminectomy or laminotomy (partial removal of spine bones)61
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities Orthopaedic Surgery CurrentSince Sep 14, 2015 Accepting new patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Sep 14, 2015 Accepting new patients
Northwest Benton County Physician Services LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

2900 Medical Center Pkwy
Ste 300
Bentonville, AR 72712
Phone (479) 271-0005

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426

1000 S 52nd St
Rogers, AR 72758
Phone (479) 271-9607

1101 S Horsebarn Rd
Rogers, AR 72758
Phone (479) 271-4170

Interoperability endpoints

  • Direct secure messaging: charles.jones.1@2229.direct.athenahealth.com
  • Direct secure messaging: cjones718182@directc.mercy.net

Organizations & group practices 4

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 2

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": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1295978443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 MEDICAL CENTER PKWY STE 300",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123214",
            "telephone_number": "479-553-3360",
            "fax_number": "479-553-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 MEDICAL CENTER PKWY STE 300",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123214",
            "telephone_number": "479-553-3360",
            "fax_number": "479-553-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CHARLES",
        "middle_name": "IRVING",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-16",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AR",
            "license": "E-9376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

Verify at the official NPI Registry.