Individual provider Active NPI

Charles Ray Joiner, M.D.

  • Family Medicine Physician
  • Alexandria, LA
National Provider Identifier
1780686923
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05712R Issued in LA
Practice address
3425 North Blvd
Alexandria, LA 71301-3676
Phone
(318) 442-2339
Fax
(318) 442-2340
NPI assigned
Jun 1, 2005
Last updated
Jan 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05712R LA Primary

Addresses

Primary practice location

3425 North Blvd
Alexandria, LA 71301-3676

Mailing address

3425 North Blvd
Alexandria, LA 71301-3676
Phone (318) 442-2339

Other identifiers 1

IdentifierTypeStateIssuer
1321559MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CHARLES.JOINER@hca9.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05712RLAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rapides Regional Physician Group Specialty Care, LLC PastSince Oct 12, 2019 Accepting new patients
C H Wilkinson Physician Network Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: charles.joiner@hca9.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4

Organizations & group practices 2

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1780686923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 NORTH BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013676",
            "telephone_number": "318-442-2339",
            "fax_number": "318-442-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 NORTH BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013676",
            "telephone_number": "318-442-2339",
            "fax_number": "318-442-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOINER",
        "first_name": "CHARLES",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "05712R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1321559",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CHARLES.JOINER@hca9.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3425 North Blvd",
            "city": "Alexandria",
            "state": "LA",
            "country_code": "US",
            "postal_code": "713013676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.