DR. CHARLES RICHARD CHAMBLEE JR. D.MIN; M.DIV; L.A.C.
NPI 1285979609
Counselor - Professional in Little Rock, AR

NPI Status: Active since December 11, 2012

Contact Information

11321 INTERSTATE 30
SUITE 304
LITTLE ROCK, AR
ZIP 72209
Phone: (501) 202-7587
Fax: (501) 202-7513

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  • Individual
  • Male
  • Years of Experience 15
  • Counselor
  • Professional
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About CHARLES CHAMBLEE

This page provides the complete NPI Profile along with additional information for Charles Chamblee, a provider established in Little Rock, Arkansas with a medical specialization in Counselor, focusing in professional and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1285979609 assigned on December 2012. The practitioner's primary taxonomy code is 101YP2500X with license number A1203022 (AR). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1285979609
Provider Name
DR. CHARLES RICHARD CHAMBLEE JR. D.MIN; M.DIV; L.A.C.
Gender
Male
Entity Type
Individual
Location Address
11321 INTERSTATE 30 SUITE 304 LITTLE ROCK, AR 72209
Location Phone
(501) 202-7587
Location Fax
(501) 202-7513
Mailing Address
11001 EXECUTIVE CENTER DR STE 200 LITTLE ROCK, AR 72211
Mailing Phone
(501) 202-7587
Mailing Fax
(501) 202-7513
Medical School Name
OTHER
Graduation Year
2011
Is Sole Proprietor?
No
Enumeration Date
12-11-2012
Last Update Date
02-01-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
A1203022
License State
AR

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Exp Standardized - PPO
  • Bronze Value - PPO
  • Gold Standardized - PPO
  • Silver AH - PPO
  • Silver Standardized - PPO
  • Silver Value - PPO
  • Dental Gold - PPO
  • Dental Gold Plus Vision - PPO
  • Dental Pediatric - PPO
  • Dental Platinum - PPO
  • Dental Platinum Plus Vision - PPO
  • Dental Platinum Premium - PPO
  • Dental Platinum Premium Plus Vision - PPO
  • Dental Silver - PPO
  • HA Bronze Exp Standardized - POS
  • HA Bronze Suitcase - POS
  • HA Gold Standardized - POS
  • HA Silver AH - POS
  • HA Silver Premier Suitcase - POS
  • HA Silver Standardized - POS
  • Octave Bronze Exp Standardized - POS
  • Octave Bronze Value - POS
  • Octave Gold Standardized - POS
  • Octave Silver AH - POS
  • Octave Silver Classic Suitcase - POS
  • Octave Silver Standardized - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Charles Chamblee is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Charles Chamblee is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 345685723

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240226000105

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for DR. CHARLES RICHARD CHAMBLEE JR. D.MIN; M.DIV; L.A.C.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285979609
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221651871860
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 8 + 7 + 1 + 8 + 6 + 0 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1285979609 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548265572DR. AHMED T ABDELAL M.D.
Individual
Internal Medicine11321 INTERSTATE 30 STE 308
LITTLE ROCK, AR 72209
(501) 455-7021
1619974599DR. CHRISTOPHER LEIGH JOHN MD
Individual
Internal Medicine (Critical Care Medicine)11321 INTERSTATE 30 STE 306
LITTLE ROCK, AR 72209
(501) 407-0200
1336122340OTTER CREEK FAMILY CLINIC PLLC
Organization
Internal Medicine11321 INTERSTATE 30 STE 101
LITTLE ROCK, AR 72209
(501) 455-1331
1831161215 KATHREEN D THESSING RNP
Individual
Nurse Practitioner11321 INTERSTATE 30 SUITE 201
LITTLE ROCK, AR 72209
(501) 455-4700
1053348870DR. STEPHEN SNYDER MD
Individual
Internal Medicine11321 INTERSTATE 30 SUITE 101
LITTLE ROCK, AR 72209
(501) 455-1331
1184765315KONDO ENTERPRISES CORP
Organization
Pharmacist11321 INTERSTATE 30 SUITE 102
LITTLE ROCK, AR 72209
(501) 353-2136
1356537666J. MICHAEL CARNEY, MD, PLLC
Organization
Dermatology11321 INTERSTATE 30 SUITE 201
LITTLE ROCK, AR 72209
(501) 455-4700
1841472149CHRISTOPHER L. JOHN
Organization
Specialist11321 INTERSTATE 30 SUITE 306
LITTLE ROCK, AR 72209
(501) 407-0200
1063694677 JEREMY DAVIS MHPP
Individual
Case Manager/Care Coordinator11321 INTERSTATE 30 SUITE 104
LITTLE ROCK, AR 72209
(501) 315-3344
1265767271MR. JAY CHARLES STAKE MHPP
Individual
Case Manager/Care Coordinator11321 INTERSTATE 30
LITTLE ROCK, AR 72209
(501) 202-7587
1720313737MR. BOYD CLINTON GOODNER MHPP
Individual
Case Manager/Care Coordinator11321 INTERSTATE 30
LITTLE ROCK, AR 72209
(501) 202-7587
1780919787MR. COLBY AARON LADD MHPP
Individual
Case Manager/Care Coordinator11321 INTERSTATE 30
LITTLE ROCK, AR 72209
(501) 202-7587
1952695843 ERIK TYLER JERNIGAN
Individual
Case Manager/Care Coordinator11321 INTERSTATE 30 SUITE 104
LITTLE ROCK, AR 72209
(501) 202-7587
1306131552 SHANNON BROOKE EARLEY
Individual
Case Manager/Care Coordinator11321 INTERSTATE 30 SUITE 104
LITTLE ROCK, AR 72209
(501) 202-7587
1295020303 ASHLEY NICOLE BALL
Individual
Case Manager/Care Coordinator11321 INTERSTATE 30 SUITE 104
LITTLE ROCK, AR 72209
(501) 202-7587
1538455589 GLORIA STEVENS MHPP
Individual
Case Manager/Care Coordinator11321 INTERSTATE 30 SUITE 104
LITTLE ROCK, AR 72209
(501) 202-7587
1235426016 REBECCA MCCUTCHEON MHPP
Individual
Case Manager/Care Coordinator11321 INTERSTATE 30 SUITE 104
LITTLE ROCK, AR 72209
(501) 202-7587
1053609925 TONYA LEIGH SCRIMSHIRE MHPP
Individual
Case Manager/Care Coordinator11321 INTERSTATE 30 SUITE 104
LITTLE ROCK, AR 72209
(501) 202-7587
1700931755DR. MEENAKSHI BUDHRAJA MD
Individual
Internal Medicine (Gastroenterology)11321 INTERSTATE 30 SUITE 100
LITTLE ROCK, AR 72209
(501) 407-2036
1780076380DIGESTIVE WELLNESS CLINIC, PLLC
Organization
Internal Medicine (Gastroenterology)11321 INTERSTATE 30 STE. 100
LITTLE ROCK, AR 72209
(501) 407-2036

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285979609, enumerated in the NPI registry as an "individual" on December 11, 2012

The provider is located at 11321 Interstate 30 Suite 304 Little Rock, Ar 72209 and the phone number is (501) 202-7587

The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional

The provider might be accepting Accepts: Arkansas Blue Cross and Blue Shield, Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on December 11, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.