Individual provider Active NPI

Chrysti Lyn Williams, M.D.

  • Family Medicine Physician
  • Benton, AR
National Provider Identifier
1992764518
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-0635 Issued in AR
Practice address
819 W Carpenter St
Benton, AR 72015-3349
Phone
(501) 778-8264
Fax
(501) 778-7360
NPI assigned
Mar 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 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 E-0635 AR Primary

Addresses

Primary practice location

819 W Carpenter St
Benton, AR 72015-3349

Mailing address

819 W Carpenter St
Benton, AR 72015-3349
Phone (501) 778-8264

Other identifiers 6

IdentifierTypeStateIssuer
128527001MedicaidAR
418028OtherHEALTHLINK
0120294OtherUNITED HEALTHCARE
5690534OtherARAETNA
175310000OtherARQUALCHOICE
5J920OtherBCBS

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
I20060125000659 AR Practitioner - Family Practice 3476576604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, shared by 52 NPIs, 645 clinicians

Practice addresses (Care Compare)

819 W Carpenter St
Benton Family Clinic
Benton, AR 72015-3349
Phone (501) 778-8264

Hospital & facility affiliations

  • Saline Memorial Home Health Home health agency, Bryant, AR, CCN 047043
  • Elite Home Health Home health agency, Hot Springs, AR, CCN 047151
  • Baptist Health Home Health-LR Home health agency, Little Rock, AR, CCN 047090
  • Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114
  • Saline Memorial Hospital Hospital, Benton, AR, CCN 040084
  • Baptist Health Medical Center-Hot Springs County Hospital, Malvern, AR, CCN 040076
  • Baptist Health Rehabilitation Institute Inpatient rehabilitation facility, Little Rock, AR, CCN 043026

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group Family Medicine CurrentSince Jul 1, 1997 Accepting new patients
Arkansas Health Group CurrentSince Jul 1, 1997 Accepting new patients
Arkansas Health Group CurrentSince Sep 1, 2020 Accepting new patients
Arkansas Health Group Family Medicine Current Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Arkansas Health Group Family Medicine Past Accepting new patients

Locations

819 W Carpenter St
Benton, AR 72015
Phone (501) 663-6262

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

9601 Interstate 630
Little Rock, AR 72205
Phone (501) 202-2300

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

Interoperability endpoints

  • Direct secure messaging: cwilliams2601@direct.baptist-healthar.org

Organizations & group practices 6

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 7

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1992764518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 W CARPENTER ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153349",
            "telephone_number": "501-778-8264",
            "fax_number": "501-778-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 W CARPENTER ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153349",
            "telephone_number": "501-778-8264",
            "fax_number": "501-778-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHRYSTI",
        "middle_name": "LYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-0635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128527001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "418028",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0120294",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5690534",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "175310000",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5J920",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

Verify at the official NPI Registry.