NPIMap

Individual provider Active NPI

James Barton Throneberry, MD

  • Family Medicine Physician
  • Conway, AR
National Provider Identifier
1316949308
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C6680 Issued in AR
Practice address
2869 College Ave
Conway, AR 72034-6087
Phone
(501) 327-2611
Fax
(501) 336-9763
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C6680 AR Primary

Addresses

Primary practice location

2869 College Ave
Conway, AR 72034-6087

Mailing address

2869 College Ave
Conway, AR 72034-6087
Phone (501) 327-2611

Other identifiers 1

IdentifierTypeStateIssuer
110912001MedicaidAR

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
I20060328000381 AR Practitioner - Family Practice 2769444751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Throneberry Family Clinic, P.a.Group PAC ID 6507874815, 5 clinicians

Practice addresses (Care Compare)

2869 College Ave
Conway, AR 72034-6087
Phone (501) 327-2611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.45 of 100Reported as individual
Quality
93.29
Improvement activities
40
Cost
77.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions27
Removal of nail tissue1-10
Removal or shaving of skin growth12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C6680ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Throneberry Family Clinic, P.a. CurrentSince Apr 24, 2011 Accepting new patients

Locations

2869 College Ave
Conway, AR 72034
Phone (501) 232-1211

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 9

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1316949308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2869 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346087",
            "telephone_number": "501-327-2611",
            "fax_number": "501-336-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2869 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346087",
            "telephone_number": "501-327-2611",
            "fax_number": "501-336-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRONEBERRY",
        "first_name": "JAMES",
        "middle_name": "BARTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C6680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110912001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.