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CHARLOTTE WILLIS MD
NPI 1619067279
Pediatrics - Pediatric Emergency Medicine in Little Rock, AR

Active since October 13, 2006PECOS Enrolled
800 MARSHALL ST # 653, LITTLE ROCK, AR 72202(501) 364-1100 Get Directions Write a Review

NPPES record last updated: August 31, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charlotte Willis Md NPPES

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

CHARLOTTE WILLIS MD (NPI 1619067279) is an individual pediatric emergency medicine provider in Little Rock, Arkansas, licensed in Arkansas (R-4486) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619067279
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameCHARLOTTE WILLISCredential: MD
Location Address800 MARSHALL ST # 653Little Rock, AR 72202-3510
Mailing Address800 Marshall St # 653Little Rock, AR 72202-3510 · (501) 364-1100
Phone(501) 364-1100
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateAugust 31, 2010
✔ NPI 1619067279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in AR · R-4486
Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

800 MARSHALL ST # 653, Little Rock, AR 72202
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Other Identifiers 3

Medicare PIN5AC92AR
Medicare UPINF59450
Medicaid123464001AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charlotte Willis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

ROBERT BUCHMANN DO
Radiology (Pediatric Radiology)
800 MARSHALL ST # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
GREGORY SHARP MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
800 MARSHALL ST # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
MARK EDWARDS PHD
Psychologist (Clinical Child & Adolescent)
800 MARSHALL ST # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
LARRY EVANS PSY.D.
Psychologist (Clinical Child & Adolescent)
800 MARSHALL ST # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
ROBERT LAW PHD
Clinical Neuropsychologist
800 MARSHALL ST # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
NICHOLAS LONG PHD
Psychologist (Clinical)
800 MARSHALL ST # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
JANINE WATSON PHD
Psychologist
800 MARSHALL ST # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
STEWART GREENBERG MD
Radiology (Pediatric Radiology)
800 MARSHALL ST # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100

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 Charlotte Willis's NPI number?

The NPI number for Charlotte Willis is 1619067279. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Charlotte Willis located?

Charlotte Willis practices at 800 Marshall St # 653, Little Rock, AR 72202. The listed phone number is (501) 364-1100.

What is Charlotte Willis's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Charlotte Willis enrolled in Medicare?

Yes. Charlotte Willis is registered in the Medicare PECOS enrollment system.

What insurance does Charlotte Willis accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Charlotte Willis 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 Charlotte Willis was last updated on August 31, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.