Individual provider Active NPI

Carol Gene Mathews

  • Psychiatric/Mental Health Nurse Practitioner
  • Springdale, AR
National Provider Identifier
1477267193
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
222605 Issued in AR
Practice address
609 W Maple Ave
Springdale, AR 72764-5335
Phone
(870) 283-9746
NPI assigned
Jan 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 222605 AR Primary

Addresses

Primary practice location

609 W Maple Ave
Springdale, AR 72764-5335

Mailing address

24 Park Dr
Sidney, AR 72577-5001
Phone (870) 283-9746

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230612003175 AR Practitioner - Nurse Practitioner 4981061587 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Uppal Medical Center LLCGroup PAC ID 4587998547, 129 clinicians
MDB Behavioral Health Services LLCGroup PAC ID 0749572915, 201 clinicians
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians
Psychplus Medical Associates PLLCGroup PAC ID 2668813460, 42 clinicians
Forefront-Rush Medical Services PCGroup PAC ID 8628324878, 10 clinicians

Practice addresses (Care Compare)

1727 E Union St
Greenville, MS 38703-3253
Phone (662) 537-4830

1911 Mission
66 Suite B
Vicksburg, MS 39180-3762
Phone (601) 456-2598

212 Willie Ray Dr
Cabot, AR 72023-9171
Phone 8328694818235

300 S Spring St
Suite 900
Little Rock, AR 72201-2425
Phone (972) 449-0540

719 Detroit Ave
Danville, AR 72833-9607
Phone (972) 449-0540

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Physicians LLC CurrentSince Oct 1, 2024 Accepting new patients
Access Telecare, PLLC CurrentSince Feb 26, 2025 Accepting new patients
Northwest Physicians LLC CurrentSince Oct 1, 2024 Accepting new patients
River Region Psychiatry Associates LLC CurrentSince May 1, 2023 Accepting new patients
Forefront-Rush Medical Services PC CurrentSince Jul 3, 2023 Accepting new patients
Transforming Lives Counseling LLC Past Accepting new patients
Forefront-Crane Medical Services PC Past Accepting new patients

Locations

233 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 207-3188

1100 E Poplar St
Clarksville, AR 72830
Phone (479) 754-5393

300 Spring Building
Ste 900
Little Rock, AR 72201
Phone 80099761969238

601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

Interoperability endpoints

  • Direct secure messaging: carol.mathews.1@24287.direct.athenahealth.com

Organizations & group practices 11

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 1

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": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1477267193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PARK DR",
            "city": "SIDNEY",
            "state": "AR",
            "postal_code": "725775001",
            "telephone_number": "870-283-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W MAPLE AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645335",
            "telephone_number": "870-283-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "CAROL",
        "middle_name": "GENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "222605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.