Active NPI
Thomas W Atkinson, M.D.
- Internal Medicine Physician
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C-5953
- Practice address
- 1670 E Joyce Blvd
Fayetteville, AR 72703-6214 - Phone
- (479) 582-5905
- Fax
- (479) 582-5908
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | C-5953 | AR | |
| Internal Medicine Physician | 207R00000X | C-5903 | AR | |
| Internal Medicine Physician | 207R00000X | C-5953 | AR | Primary |
Addresses
Primary practice location
1670 E Joyce Blvd
Fayetteville, AR 72703-6214
Mailing address
PO Box 9690
Fayetteville, AR 72703-0030
Phone (479) 582-5905
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 238882 | Other | AR | VALUE OPTIONS PROVIDER ID |
| 110911001 | Medicaid | AR | |
| 13075000001 | Other | AR | QUALCHOICE QCA |
| 50083 | Other | AR | BLUE CROSS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Arkansas College of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1670 E Joyce Blvd
Suite 2
Fayetteville, AR 72703-0030
P O Box
9690 1792 E. Joyce Blvd Suite 5
Fayetteville, AR 72703-0030
PO Box
Suite 9690
Fayetteville, AR 72703-0030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-5903 | AR | MD | Internal Medicine Physician |
| C-5953 | AR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texarkana Behavioral Associates LC | Current | Accepting new patients | |
| Texarkana Behavioral Associates, L.C. | Current | Accepting new patients | |
| Texarkana Behavioral Associates, L.C. | Current | Accepting new patients | |
| Springdale Treatment Center, LLC | Current | Accepting new patients | |
| Ancillary Innovations | Past | Accepting new patients | |
| Integrated Health Associates | Past | Accepting new patients | |
| Arkansas MRI Services, LLC | Past | Accepting new patients | |
| Arkansas MRI Services LLC | Past | Accepting new patients |
Locations
815 Fort St
Ste A
Barling, AR 72923
Phone (479) 494-5740
4253 N Crossover Rd
Fayetteville, AR 72703
Phone (479) 443-6496
Organizations & group practices 8
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Barling, AR
- NPI 1467483677
-
- Specialist
- Fayetteville, AR
- NPI 1457783532
-
- Methadone Clinic
- Springdale, AR
- NPI 1437557899
-
- Psychiatry Physician
- Fayetteville, AR
- NPI 1114040888
-
- Psychiatric Hospital
- Fayetteville, AR
- NPI 1639137565
-
- Clinical Medical Laboratory
- Fayetteville, AR
- NPI 1962899989
-
- Radiology Clinic/Center
- Bentonville, AR
- NPI 1568506715
-
- Radiology Clinic/Center
- Fayetteville, AR
- NPI 1710939269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1861438665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9690",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727030030",
"telephone_number": "479-582-5905",
"fax_number": "479-582-5908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 E JOYCE BLVD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727036214",
"telephone_number": "479-582-5905",
"fax_number": "479-582-5908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKINSON",
"first_name": "THOMAS",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "AR",
"license": "C-5953",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "C-5903",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "C-5953",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS PROVIDER ID",
"identifier": "238882",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110911001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE QCA",
"identifier": "13075000001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "50083",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.