CHARLES D DAVIDSON (M.D.) – Family Medicine Physician, NPI 1457425902

CHARLES D DAVIDSON (M.D.) is a healthcare provider. based in Walnut ridge, Arkansas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. N8263 (AR). The NPI Number for CHARLES D DAVIDSON (M.D.) is 1457425902

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES D DAVIDSON (M.D.)
NPI
1457425902
Phone
(870) 886-3543
Address
PO BOX 719
Enumeration Date
17 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
8708863543
Graduation Year
1991 (35 years ago)
PAC ID
5890771828
Group Practice PAC ID
1557347572
Professional Enrollment ID
I20100624000848
Address ID
AR724761005WA1210XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

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Provider Addresses for CHARLES D DAVIDSON (M.D.)

  • PO BOX 719

    WALNUT RIDGE, AR 724760719

    Phone: (870) 886-3543

    Fax: (870) 886-3252

    Type: Mailing

  • 1210, West Main Street, Walnut Ridge, Lawrence County, Arkansas, 72476, United States

    WALNUT RIDGE, AR 724761005

    Phone: (870) 886-3543

    Fax: (870) 886-3252

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100624000848IFamily PracticeARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
85027Complete blood cell count (red cells, white blood cell, platelets), automated test449149$0
80048Blood test, basic group of blood chemicals (calcium, total)328116$0
80053Blood test, comprehensive group of blood chemicals251127$0
80061Blood test, lipids (cholesterol and triglycerides)213120$0
82550Creatine kinase (cardiac enzyme) level, total14383$0
View full utilization report →

Insurance plans in this area (ZIP 72476)

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Provider's Procedures

CHARLES D DAVIDSON (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEAR83036Hemoglobin A1C level15769

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557347572View full group profile
NameSpecialtyState
Family PracticeAR
Family PracticeAR
Family PracticeAR
Family PracticeAR

Reviews

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Frequently asked questions

What is the 10-digit NPI for CHARLES D DAVIDSON (M.D.)?
CHARLES D DAVIDSON (M.D.) — NPI 1457425902 — is the standard way to identify this listing.
Is CHARLES D DAVIDSON (M.D.) still practicing?
CHARLES D DAVIDSON (M.D.) is currently listed as active in the public NPI registry.
What is CHARLES D DAVIDSON (M.D.)'s specialty?
The listing groups CHARLES D DAVIDSON (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for CHARLES D DAVIDSON (M.D.)?
CHARLES D DAVIDSON (M.D.)'s geographic hint is Walnut Ridge, Arkansas in our summary view.
Why does CHARLES D DAVIDSON (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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