Organization Active NPI

Array Provider Associates, PA

Doing business as Array Primary Care

  • Family Medicine Physician
  • Decatur, TX
National Provider Identifier
1821850629
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ARRAY PROVIDER ASSOCIATES, PA
Doing business as
Array Primary Care
Practice address
1821 S FM 51
Decatur, TX 76234-3715
Phone
(940) 233-6929
NPI assigned
Jan 26, 2024
Last updated
Jun 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Dr. Charles Tibbels, MDNPI 1871569632
Title
Owner
Phone
(940) 233-6929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1821 S FM 51
Decatur, TX 76234-3715

Mailing address

1821 S FM 51
Decatur, TX 76234-3715

Other names 1

  • Array Primary Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240328002990 TX Part B Supplier - Clinic/Group Practice 6103263991 Receives reassigned benefits from 3 practitioners
Practice locations: Decatur, TX

National Provider Directory

National Provider Directory

Locations

1821 S FM 51
Ste A
Decatur, TX 76234

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1821850629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 S FM 51",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 S FM 51",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343715",
            "telephone_number": "940-233-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARRAY PROVIDER ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "TIBBELS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-233-6929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Array Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Array Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.