Individual provider Active NPI

Charles W Ball Jr., MD

  • Family Medicine Physician
  • Longview, TX
National Provider Identifier
1720020738
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T1294 Issued in TX
Practice address
1201 W Loop 281 Ste 302
Longview, TX 75604-2941
Phone
(903) 470-8100
Fax
(903) 470-8101
NPI assigned
Jun 12, 2006
Last updated
Oct 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X T1294 TX Primary
Family Medicine Physician 207Q00000X C-5265 AR

Addresses

Primary practice location

1201 W Loop 281 Ste 302
Longview, TX 75604-2941

Mailing address

1201 W Loop 281 Ste 302
Longview, TX 75604-2941
Phone (903) 470-8100

Other practice location 1

1100 Bob Courtway Dr Ste 5
Conway, AR 72032-4767
Phone (501) 900-4549

Other identifiers 11

IdentifierTypeStateIssuer
04629898MedicaidMS
39809OtherTNTLC
626001636OtherTNUSA MANAGED CARE
626001636OtherTNBHSG
4135427OtherTNBLUE CROSS BLUE SHIELD
3825644MedicaidTN
626001636OtherTNUNITED HEALTHCARE
626001636OtherTNHEALTH NOW
2416091OtherTNCIGNA
10027028OtherTNUAHC
104981001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040510001516 AR Practitioner - Family PracticePractitioner - Emergency Medicine 8426047861 Reassigns benefits to 1 organization
I20230406000665 TX Practitioner - Family Practice 8426047861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1409 McCann Rd
Longview, TX 75601-3852
Phone (903) 470-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Arcare Current Accepting new patients
Healing Journey Health & Wellness PLLC CurrentSince Dec 20, 2024 Accepting new patients
Arcare CurrentSince Apr 7, 2025 Accepting new patients
A Beautiful You Health Center, LLC CurrentSince Sep 1, 2022 Accepting new patients
National Healthcare of Newport Inc Past Accepting new patients
St Francis Emergency Group LLC Past Accepting new patients
Stuttgart Regional Medical Center Past Accepting new patients
Stuttgart Regional Medical Center Past Accepting new patients
Genesis Emergency Medicine Services LLC Past Accepting new patients
Prism Medical Group, PLC Past Accepting new patients

Locations

623 N 9th St
#40
Augusta, AR 72006

719 Front St
Conway, AR 72032
Phone (501) 470-8445

705 Highway 63 N
Hazen, AR 72064
Phone (870) 255-3696

1201 W Loop 281
Ste 302
Longview, TX 75604
Phone (903) 212-0556

1409 McCann Rd
Longview, TX 75601
Phone (903) 470-8100

Interoperability endpoints

  • Direct secure messaging: charles.ball@arcare.directbygreenway.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1720020738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W LOOP 281 STE 302",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042941",
            "telephone_number": "903-470-8100",
            "fax_number": "903-470-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W LOOP 281 STE 302",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042941",
            "telephone_number": "903-470-8100",
            "fax_number": "903-470-8101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Bob Courtway Dr Ste 5",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720324767",
            "country_code": "US",
            "telephone_number": "501-900-4549",
            "fax_number": "501-499-6234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALL",
        "first_name": "CHARLES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T1294",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C-5265",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04629898",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLC",
            "identifier": "39809",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA MANAGED CARE",
            "identifier": "626001636",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHSG",
            "identifier": "626001636",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4135427",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3825644",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "626001636",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NOW",
            "identifier": "626001636",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2416091",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UAHC",
            "identifier": "10027028",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104981001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.