1. Home
  2. Directory
  3. Arkansas
  4. Fayetteville
  5. Physician Assistant
  6. NPI Profile

CHARLES EARL WALL JR. PA-C
NPI 1013178128
Physician Assistant in Fayetteville, AR

Active since June 20, 2008
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703(479) 443-4301 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Jul 12, 2016 (2 updates tracked since 2016).

About Charles Earl Wall Jr. Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES EARL WALL JR. PA-C (NPI 1013178128) is an individual physician assistant in Fayetteville, Arkansas, licensed in Minnesota (1143) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1013178128
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCHARLES EARL WALL JR.Credential: PA-C
Location Address1100 N COLLEGE AVEFayetteville, AR 72703-1944
Mailing Address1100 N College AveFayetteville, AR 72703-1944 · (479) 443-4301
Phone(479) 443-4301
Sole ProprietorNo
Enumeration DateJune 20, 2008
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1013178128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 1143
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1100 N COLLEGE AVE, Fayetteville, AR 72703
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELE L GRIFFIN NP-C
Nurse Practitioner (Family)
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (641) 780-8696
MARTHA JO MCKINNEY APN
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 443-4301
KRISTIN SALMON PA-C
Physician Assistant
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 443-4301
SAVANNAH HILL PA-C
Physician Assistant
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 443-4301
MADISON MARIE-IVEY MCANALLY
Social Worker
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 305-0271
DR. JOHN FRANK CUCHIA MD
Anesthesiology
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 443-4301
FAYETTEVILLE VAMC
General Acute Care Hospital
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (615) 355-3451
DR. DIANA L SHIPMAN MD
Ophthalmology
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 444-5093

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Wall's NPI number?

The NPI number for Charles Wall is 1013178128. It was assigned to this individual provider in the NPPES registry on June 20, 2008.

Where is Charles Wall located?

Charles Wall practices at 1100 N College Ave, Fayetteville, AR 72703. The listed phone number is (479) 443-4301.

What is Charles Wall's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Charles Wall was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.