Active NPI
Charles R Mills, MD
- Rheumatology Physician
- Farmington, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- E-5405
- Practice address
- 3150 E Heritage Pkwy
Farmington, AR 72730-5529 - Phone
- (479) 400-1140
- Fax
- (479) 400-1151
- NPI assigned
- Dec 13, 2005
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | E-5405 | AR | Primary |
Addresses
Primary practice location
3150 E Heritage Pkwy
Farmington, AR 72730-5529
Mailing address
PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 168263001 | 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
- Internal Medicine
- Education
- Loma Linda University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1501 S Waldron Rd
Suite 204
Fort Smith, AR 72903-2565
Phone (479) 755-6900
3150 E Heritage Pkwy
Primary Health
Farmington, AR 72730-5529
Phone (479) 400-1140
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-5405 | AR | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcare | Current | Accepting new patients | |
| Arcare | Current | Accepting new patients | |
| Trublu, LLC | Rheumatology | Current | Accepting new patients |
| Arcare | Current | Accepting new patients | |
| Weitzner Yonker & Kaine MD PA | Rheumatology | Past | Accepting new patients |
| Arcare | Past | Accepting new patients |
Locations
623 N 9th St
#40
Augusta, AR 72006
3150 E Heritage Pkwy
Farmington, AR 72730
Phone (479) 400-1140
1501 S Waldron Rd
Ste 204
Fort Smith, AR 72903
Phone (479) 755-6900
14558 Highway 412
Huntsville, AR 72740
Phone (479) 351-0973
Interoperability endpoints
- charles.mills@arcare.directbygreenway.com
- cmills221541@directc.mercy.net
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Augusta, AR
- NPI 1275635542
-
- Federally Qualified Health Center (FQHC)
- Little Rock, AR
- NPI 1346814670
-
- Federally Qualified Health Center (FQHC)
- Jacksonville, AR
- NPI 1821802729
-
- Federally Qualified Health Center (FQHC)
- Brinkley, AR
- NPI 1669433363
-
- Rheumatology Physician
- Sarasota, FL
- NPI 1659358927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1689659674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 497",
"city": "AUGUSTA",
"state": "AR",
"postal_code": "720060497",
"telephone_number": "870-347-2534",
"fax_number": "870-347-1235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 E HERITAGE PKWY",
"city": "FARMINGTON",
"state": "AR",
"postal_code": "727305529",
"telephone_number": "479-400-1140",
"fax_number": "479-400-1151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "CHARLES",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "AR",
"license": "E-5405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "168263001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.