NPIMap

Individual provider Active NPI

Craig A. McDaniel, M.D.

  • Family Medicine Physician
  • Jonesboro, AR
National Provider Identifier
1912960519
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C-5926 Issued in AR
Practice address
2205 W Parker Rd
Jonesboro, AR 72404-7778
Phone
(870) 933-9250
Fax
(870) 931-4790
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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 C-5926 AR Primary

Addresses

Primary practice location

2205 W Parker Rd
Jonesboro, AR 72404-7778

Mailing address

3104 Apache Dr
Jonesboro, AR 72401-7405
Phone (870) 932-2499

Other identifiers 1

IdentifierTypeStateIssuer
103146001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100324000650 AR Practitioner - Family Practice 2163557554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Physicians of JonesboroGroup PAC ID 5597067249, 2 clinicians

Practice addresses (Care Compare)

1670 Hill Park Cove
Jonesboro, AR 72401-7405
Phone (870) 932-2499

1670 Hill Park CV
Jonesboro, AR 72401-6255

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.39 of 100Reported as apm
Quality
73.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Physicians of Jonesboro Family Medicine CurrentSince Dec 1, 2015 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Northeast Arkansas Clinic, PA Past Accepting new patients

Locations

1670 Hill Park Cv
Jonesboro, AR 72401
Phone (870) 932-2499

3104 Apache Dr
Jonesboro, AR 72401
Phone (870) 932-2499

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1912960519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 APACHE DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017405",
            "telephone_number": "870-932-2499",
            "fax_number": "870-932-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 W PARKER RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724047778",
            "telephone_number": "870-933-9250",
            "fax_number": "870-931-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "CRAIG",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C-5926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103146001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.