Active NPI
Graeme C.M. Archer, MD
- Family Medicine Physician
- Bentonville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E-6060
- Practice address
- 1000 SE 13TH CT
Bentonville, AR 72712-7857 - Phone
- (479) 273-9056
- Fax
- (479) 273-6937
- NPI assigned
- Jun 5, 2007
- Last updated
- Dec 13, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E-6060 | AR | Primary |
Addresses
Primary practice location
1000 SE 13TH CT
Bentonville, AR 72712-7857
Mailing address
1000 SE 13TH CT
Bentonville, AR 72712-7857
Phone (479) 273-9056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179420001 | Medicaid | AR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Arkansas College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 SE 13TH CT
Bentonville, AR 72712-7857
Phone (479) 273-9056
2708 S Rife Medical LN
Suite T30
Rogers, AR 72758-1458
Phone (479) 338-3999
3101 SE 14TH St
Bentonville, AR 72712-4900
Phone (479) 631-2100
4100 SW I St
Bentonville, AR 72713-0200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-6060 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Family Medicine | Current | Accepting new patients |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients |
Locations
1000 SE 13th Ct
Bentonville, AR 72712
Phone (479) 273-9056
3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100
2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 636-0200
Interoperability endpoints
- garcher208240@directc.mercy.net
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
-
- Family Medicine Physician
- Bentonville, AR
- NPI 1447699434
-
- Endocrinology, Diabetes & Metabolism Physician
- Rogers, AR
- NPI 1770087371
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Circle of Life Hospice
- Community Based Hospice Care Agency
- Springdale, AR
- NPI 1386755460
-
dba Mercy Hospital Northwest Arkansas
- General Acute Care Hospital
- Rogers, AR
- NPI 1316902414
-
- Home Health Agency
- Rogers, AR
- NPI 1942265160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323734400000",
"number": "1326240797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 SE 13TH CT",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727127857",
"telephone_number": "479-273-9056",
"fax_number": "479-273-6937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 SE 13TH CT",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727127857",
"telephone_number": "479-273-9056",
"fax_number": "479-273-6937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHER",
"first_name": "GRAEME",
"middle_name": "C.M.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2011-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-6060",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179420001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
- Jordan Philip Applegate
- Arbor Vitae Chiropractic Inc
- Arcare (ARcare201)
- Arcare (ARcare33)
- Arcare (ARcare Pharmacy 09)
- Arkansas Center for Arthroscopy
- Arkansas Center for Arthroscopy, PA
- Arkansas Compounding, LLC
- Arkansas Connections Academy, Inc.
- Arkansas Dental Health Professionals, Mongrain, P.a. (Integrated Dentistry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.