Individual provider Active NPI

Chansamorn Morn Nouansavane, MD

  • Family Medicine Physician
  • Fort Smith, AR
National Provider Identifier
1811098403
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-6210 Issued in AR
Practice address
6100 Massard Rd
Fort Smith, AR 72916-8886
Phone
(479) 709-7250
Fax
(479) 709-7251
NPI assigned
Sep 26, 2006
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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 E-6210 AR Primary

Addresses

Primary practice location

6100 Massard Rd
Fort Smith, AR 72916-8886

Mailing address

11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (479) 709-7250

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091027000855 AR Practitioner - Family Practice 0143367920 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fands Physical Therapy, IncGroup PAC ID 7810898459, 217 clinicians
Baptist Health ServicesGroup PAC ID 0648514133, 103 clinicians
Wound Integrity Arkansas, PAGroup PAC ID 5496161945, 9 clinicians

Practice addresses (Care Compare)

1414 Hwy 71 N
Alma, AR 72921-4723
Phone (479) 632-0321

6100 Massard Rd
Fort Smith, AR 72916-8886
Phone (479) 709-7250

7306 Rogers Ave
Fort Smith, AR 72903-4164
Phone (479) 314-2804

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue929
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-6210ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Services Family Medicine CurrentSince Nov 1, 2018 Accepting new patients
Wound Integrity Arkansas PA Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
Baptist Health Services Current Accepting new patients
Premier Provider Health PA Past Accepting new patients
Mercy Hospital Fort Smith Past Accepting new patients

Locations

937 Highway 64 E
Alma, AR 72921
Phone (479) 632-3855

1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7120

1500 Dodson Ave
Fort Smith, AR 72901
Phone (479) 441-2600

1500 Dodson Ave
Ste 155
Fort Smith, AR 72901
Phone (479) 573-7940

1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025

1500 Dodson Ave
Ste 60
Fort Smith, AR 72901
Phone (479) 709-7325

3505 S 79th St
Fort Smith, AR 72903
Phone (479) 709-6729

6100 Massard Rd
Fort Smith, AR 72916
Phone (479) 441-5151

7306 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-2804

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

13501 Chenal Pkwy
Ste 101
Little Rock, AR 72211
Phone (501) 239-9146

Interoperability endpoints

  • Direct secure messaging: cnouansavane218641@direct.baptist-healthar.org

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1811098403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114393",
            "telephone_number": "479-709-7250",
            "fax_number": "479-709-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 MASSARD RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729168886",
            "telephone_number": "479-709-7250",
            "fax_number": "479-709-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOUANSAVANE",
        "first_name": "CHANSAMORN",
        "middle_name": "MORN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-6210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.