Individual provider Active NPI

Carol J. McCourt, M.D.

  • Anesthesiology Physician
  • Batesville, AR
National Provider Identifier
1558337915
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
E-8230 Issued in AR
Practice address
1700 Harrison St
Suite T
Batesville, AR 72501-7316
Phone
(870) 262-6155
Fax
(870) 262-6512
NPI assigned
Feb 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD31930 TN
Anesthesiology Physician 207L00000X E-8230 AR Primary

Addresses

Primary practice location

1700 Harrison St
Suite T
Batesville, AR 72501-7316

Mailing address

1700 Harrison St
Suite T
Batesville, AR 72501-7316
Phone (870) 262-6155

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
I20140522000460 AR Practitioner - AnesthesiologyPractitioner - Pain Management 3072641752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of Arkansas College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
White River Health System, Inc.Group PAC ID 0143134270, 190 clinicians

Practice addresses (Care Compare)

108 N Shackeford Rd
Little Rock, AR 72211-2840

1700 Harrison St
Suite T
Batesville, AR 72501-7315
Phone (870) 262-6155

1710 Harrison St
Batesville, AR 72501-7303

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-8230ARMDAnesthesiology Physician
MD31930TNMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri State Interventional Pain Clinic PLLC Current Accepting new patients
Pain Treatment Centers of America PLLC CurrentSince Jul 2, 2020 Accepting new patients
Pain Treatment Centers of America, PLLC CurrentSince Jul 2, 2020 Accepting new patients
White River Health System, Inc. CurrentSince Apr 15, 2014 Accepting new patients
White River Health System, Inc. CurrentSince Apr 15, 2014 Accepting new patients
Metropolitan Anesthesia Alliance PLLC Anesthesiology Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240

1215 Sidney St
Batesville, AR 72501
Phone (870) 262-1541

16 Hospital Cir
Ste A
Batesville, AR 72501
Phone (870) 269-4361

1700 Harrison St
Ste T
Batesville, AR 72501
Phone (870) 262-3280

609 Fulton St
Blytheville, AR 72315
Phone (870) 763-0855

108 N Shackleford Rd
Little Rock, AR 72211
Phone (501) 346-8116

4020 Richards Rd
Ste A
North Little Rock, AR 72117
Phone (501) 900-8763

Interoperability endpoints

  • Direct secure messaging: carol.mccourt@4330.securemail.prognocis.com

Organizations & group practices 7

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 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1558337915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HARRISON ST",
            "address_2": "SUITE T",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017316",
            "telephone_number": "870-262-6155",
            "fax_number": "870-262-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 HARRISON ST",
            "address_2": "SUITE T",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017316",
            "telephone_number": "870-262-6155",
            "fax_number": "870-262-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOURT",
        "first_name": "CAROL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "MD31930",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "E-8230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.