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

Active since December 11, 2012PECOS EnrolledAccepts Medicare Assignment
11321 INTERSTATE 30, SUITE 304, LITTLE ROCK, AR 72209(501) 202-7587(501) 202-7513 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Charles Richard Chamblee Jr. D.min; M.div; L.a.c. NPPES

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

DR. CHARLES RICHARD CHAMBLEE JR. D.MIN; M.DIV; L.A.C. (NPI 1285979609) is an individual professional provider in Little Rock, Arkansas, licensed in Arkansas (A1203022) and active in the NPI registry since December 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1285979609
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. CHARLES RICHARD CHAMBLEE JR.Credential: D.MIN; M.DIV; L.A.C.
Location Address11321 INTERSTATE 30, SUITE 304Little Rock, AR 72209-7067
Mailing Address11001 Executive Center Dr Ste 200Little Rock, AR 72211-4393 · (501) 202-7587 · Fax (501) 202-7513
Fax(501) 202-7513
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 11, 2012
Last NPPES UpdateFebruary 1, 2024
NPPES CertifiedFebruary 1, 2024
NPI 1285979609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in AR · A1203022
11321 INTERSTATE 30, Little Rock, AR 72209

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Charles Richard Chamblee Jr. D.min; M.div; L.a.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345685723
PECOS Enrollment IDI20240226000105
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Internal Medicine
11321 INTERSTATE 30, SUITE 101
LITTLE ROCK, AR 72209
Case Manager/Care Coordinator
11321 INTERSTATE 30, SUITE 104
LITTLE ROCK, AR 72209
Case Manager/Care Coordinator
11321 INTERSTATE 30, SUITE 104
LITTLE ROCK, AR 72209
Pharmacist
11321 INTERSTATE 30, SUITE 102
LITTLE ROCK, AR 72209
Nurse Practitioner (Family)
11321 INTERSTATE 30, SUITE 101
LITTLE ROCK, AR 72209
Case Manager/Care Coordinator
11321 INTERSTATE 30, SUITE 104
LITTLE ROCK, AR 72209
Case Manager/Care Coordinator
11321 INTERSTATE 30
LITTLE ROCK, AR 72209
Case Manager/Care Coordinator
11321 INTERSTATE 30, SUITE 104
LITTLE ROCK, AR 72209

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 Chamblee's NPI number?

The NPI number for Charles Chamblee is 1285979609. It was assigned to this individual provider in the NPPES registry on December 11, 2012.

Where is Charles Chamblee located?

Charles Chamblee practices at 11321 Interstate 30 Suite 304, Little Rock, AR 72209. The listed phone number is (501) 202-7587.

What is Charles Chamblee's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Charles Chamblee enrolled in Medicare?

Yes. Charles Chamblee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Charles Chamblee accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Charles Chamblee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Chamblee was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.