Active NPI
Charles Gothard, APRN
- Family Nurse Practitioner
- Jonesboro, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A005795
- Practice address
- 416 E Washington Ave
Jonesboro, AR 72401-3156 - Phone
- (870) 333-5476
- Fax
- (870) 333-5475
- NPI assigned
- Jul 23, 2018
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A005795 | AR | Primary |
Addresses
Primary practice location
416 E Washington Ave
Jonesboro, AR 72401-3156
Mailing address
PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534
Other practice location 1
2816 Fox Meadow Ln
Jonesboro, AR 72404-9346
Phone (870) 336-1676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 229193758 | 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1009 Hwy 18
Lake City, AR 72437-9622
Phone (870) 237-9928
416 E Washington Ave
Arcare 59
Jonesboro, AR 72401-3108
Phone (870) 333-5476
623 N 9TH St
Augusta, AR 72006-2129
Phone (870) 347-2534
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcare | Current | Accepting new patients | |
| Arcare | Current | Accepting new patients | |
| Arcare | Current | Accepting new patients | |
| Arcare | Past | Accepting new patients |
Locations
623 N 9th St
#40
Augusta, AR 72006
117 S 2nd St
Augusta, AR 72006
416 E Washington Ave
Jonesboro, AR 72401
Phone (870) 333-5476
2816 Fox Meadow Ln
Jonesboro, AR 72404
Phone (870) 336-1675
Interoperability endpoints
- charles.gothard@arcare.directbygreenway.com
Organizations & group practices 4
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)
- Jacksonville, AR
- NPI 1760963516
-
- Federally Qualified Health Center (FQHC)
- Jacksonville, AR
- NPI 1821802729
-
- Federally Qualified Health Center (FQHC)
- Brinkley, AR
- NPI 1669433363
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1386699353
-
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1922043686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1801373824",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 E WASHINGTON AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013156",
"telephone_number": "870-333-5476",
"fax_number": "870-333-5475"
}
],
"practiceLocations": [
{
"address_1": "2816 Fox Meadow Ln",
"address_purpose": "LOCATION",
"city": "Jonesboro",
"state": "AR",
"postal_code": "724049346",
"country_code": "US",
"telephone_number": "870-336-1676",
"fax_number": "870-336-1679",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOTHARD",
"first_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-23",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A005795",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "229193758",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.