Individual provider Active NPI

Carol Harden Whitehorn, DO

  • Family Medicine Physician
  • West Memphis, AR
National Provider Identifier
1720617616
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-19040 Issued in AR
Practice address
900 N 7TH St
West Memphis, AR 72301-2001
Phone
(870) 735-3842
NPI assigned
Apr 3, 2020
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 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 5164 TN
Family Medicine Physician 207Q00000X E-19040 AR Primary

Addresses

Primary practice location

900 N 7TH St
West Memphis, AR 72301-2001

Mailing address

900 N 7TH St
West Memphis, AR 72301-2001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR2 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
I20230726003024 TN Practitioner - Family Practice 6103257647 Reassigns benefits to 1 organization
I20250326004167 AR Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 6103257647 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Arkansas Family Health Center, IncGroup PAC ID 1052390390, shared by 12 NPIs, 30 clinicians

Practice addresses (Care Compare)

1008 W Main St
Marvell, AR 72366-9486
Phone (870) 735-3842

216 Arkansas St
Earle, AR 72331-2217
Phone (870) 792-7676

301 W Polk Ave
West Memphis, AR 72301-4262
Phone (870) 293-0594

417 W Main St
Trumann, AR 72472-3116
Phone (870) 483-1025

513 Porter St
Helena, AR 72342-3217
Phone (870) 817-0122

900 N 7TH St
West Memphis, AR 72301-2001

Merit-based Incentive Payment System (MIPS)

Final score
88.15 of 100Reported as group
Quality
59.97
Promoting interoperability
100
Improvement activities
40
Cost
80.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-19040ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Arkansas Family Health Center, Inc CurrentSince Apr 7, 2025 Accepting new patients
Ut Medical Group, Inc. CurrentSince Jun 21, 2023 Accepting new patients
East Arkansas Family Health Center, Inc CurrentSince Apr 7, 2025 Accepting new patients
East Arkansas Family Health Center Inc. CurrentSince Apr 7, 2025 Accepting new patients
East Arkansas Family Health Center Inc. CurrentSince Apr 7, 2025 Accepting new patients
Ut Medical Group Inc Family Medicine CurrentSince Jun 21, 2023 Accepting new patients
East Arkansas Family Health Center Inc. Current Accepting new patients
East Arkansas Family Health Center, Inc CurrentSince Apr 7, 2025 Accepting new patients
East Arkansas Family Health Center Inc. CurrentSince Apr 7, 2025 Accepting new patients

Locations

216 Arkansas St
Earle, AR 72331
Phone (870) 792-7676

513 Porter St
Helena, AR 72342
Phone (870) 817-0122

102 W Broad St
Lepanto, AR 72354
Phone (870) 475-2977

1008 W Main St
Marvell, AR 72366
Phone (870) 735-3842

417 W Main St
Trumann, AR 72472
Phone (870) 483-1025

900 N 7th St
West Memphis, AR 72301
Phone (870) 735-3842

1301 Primacy Pkwy
Memphis, TN 38119
Phone (901) 448-0230

1407 Union Ave
Ste 700
Memphis, TN 38104
Phone (901) 866-8360

930 Madison Ave
Ste 200
Memphis, TN 38103
Phone (901) 448-6650

Organizations & group practices 9

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": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1720617616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N 7TH ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723012001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N 7TH ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723012001",
            "telephone_number": "870-735-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHORN",
        "first_name": "CAROL",
        "middle_name": "HARDEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "5164",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-19040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

Verify at the official NPI Registry.