Individual provider Active NPI

Charles A. Furr III, PA

  • Physician Assistant
  • Ruston, LA
National Provider Identifier
1295988517
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.200033 Issued in LA
Practice address
2916 N Trenton St
Ruston, LA 71270-2444
Phone
(318) 254-2892
Fax
(318) 254-2898
NPI assigned
Oct 30, 2008
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.200033 LA Primary

Addresses

Primary practice location

2916 N Trenton St
Ruston, LA 71270-2444

Mailing address

2916 N Trenton St
Ruston, LA 71270-2444
Phone (318) 254-2892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081119000009 LA Practitioner - Physician Assistant 5193885341 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Family Medicine RustonGroup PAC ID 0840656674, 5 clinicians

Practice addresses (Care Compare)

2916 N Trenton St
Ruston, LA 71270-2444
Phone (318) 254-2892

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.200033LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Louisiana Emergency Physicians LLP CurrentSince Mar 3, 2014 Accepting new patients

Locations

401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100

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 10

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": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1295988517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 N TRENTON ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702444",
            "telephone_number": "318-254-2892",
            "fax_number": "318-254-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 N TRENTON ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702444",
            "telephone_number": "318-254-2892",
            "fax_number": "318-254-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURR",
        "first_name": "CHARLES",
        "middle_name": "A.",
        "name_suffix": "III",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-30",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.200033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

Verify at the official NPI Registry.