Individual provider Active NPI

Carla Jobeth Peace, PA-C

  • Physician Assistant
  • North Little Rock, AR
National Provider Identifier
1770735532
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-445 Issued in AR
Practice address
4300 Landers Rd
North Little Rock, AR 72117-2525
Phone
(501) 771-1600
Fax
(501) 955-2252
NPI assigned
Oct 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA-445 AR
Surgical Physician Assistant 363AS0400X 0010-01506 NC
Physician Assistant 363A00000X PA-445 AR Primary

Addresses

Primary practice location

4300 Landers Rd
North Little Rock, AR 72117-2525

Mailing address

5220 Northshore Dr
North Little Rock, AR 72118-5297
Phone (501) 663-6645

Other practice location 1

5220 Northshore Dr
North Little Rock, AR 72118-5297
Phone (501) 663-6645

Other practice location 2

2039 W Main St
Cabot, AR 72023-7479
Phone (501) 771-1600

Other identifiers 1

IdentifierTypeStateIssuer
202645795MedicaidAR

Other names 1

  • Carla Jobeth Shelton Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sbowen@bowenhefleyortho.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5220 Northshore Dr
North Little Rock, AR 72118-5297

Hospital & facility affiliations

  • Arkansas Surgical Hospital Hospital, No Little Rock, AR, CCN 040147

Merit-based Incentive Payment System (MIPS)

Final score
88.04 of 100Reported as group
Quality
87.5
Promoting interoperability
100
Improvement activities
40
Cost
72.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1785TNMDVeterinarian
0010-01506NCMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bowen Hefley Rhodes Stewart Orthopedics, PA Medical CurrentSince May 1, 2020 Accepting new patients

Locations

1300 Braden St
Jacksonville, AR 72076
Phone (501) 985-5900

5 Saint Vincent Cir
Ste 100
Little Rock, AR 72205
Phone (506) 633-6455

4300 Landers Rd
North Little Rock, AR 72117
Phone (501) 771-1600

Interoperability endpoints

  • Direct secure messaging: sbowen@bowenhefleyortho.emadirect.md

Organizations & group practices 1

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": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1770735532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 NORTHSHORE DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721185297",
            "telephone_number": "501-663-6645",
            "fax_number": "501-663-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 LANDERS RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172525",
            "telephone_number": "501-771-1600",
            "fax_number": "501-955-2252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5220 Northshore Dr",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721185297",
            "country_code": "US",
            "telephone_number": "501-663-6645",
            "fax_number": "501-663-4877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2039 W Main St",
            "address_purpose": "LOCATION",
            "city": "Cabot",
            "state": "AR",
            "postal_code": "720237479",
            "country_code": "US",
            "telephone_number": "501-771-1600",
            "fax_number": "501-955-2252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEACE",
        "first_name": "CARLA",
        "middle_name": "JOBETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "PA-445",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "0010-01506",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202645795",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbowen@bowenhefleyortho.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Bowen Hefley Orthopedics",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5220 Northshore Dr",
            "city": "North Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "721185297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "SHELTON",
            "middle_name": "JOBETH",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.