CARLA JOBETH PEACE (PA-C) – Physician Assistant, NPI 1770735532
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
627 PHYSICIAN ASSISTANT in AR
Provider Addresses for CARLA JOBETH PEACE (PA-C)
5220 NORTHSHORE DR
NORTH LITTLE ROCK, AR 721185297
Phone: (501) 663-6645
Fax: (501) 663-4877
Type: Mailing
Saint Vincent Circle, University Park, Little Rock, Pulaski County, Arkansas, 72205, United States
LITTLE ROCK, AR 722055412
Phone: (501) 663-6645
Fax: (501) 663-5645
Type: Mailing
5220 Northshore Dr
North Little Rock, AR 721185297
Phone: (501) 663-6645
Fax: (501) 663-4877
Type: Location
2039 W Main St
Cabot, AR 720237479
Phone: (501) 771-1600
Fax: (501) 955-2252
Type: Location
Landers Road, North Little Rock, Pulaski County, Arkansas, 72214, United States
NORTH LITTLE ROCK, AR 721172525
Phone: (501) 771-1600
Fax: (501) 955-2252
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: 2011-05-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110511000794 | I | Physician Assistant | AR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 73564 | X-ray of knee, 4 or more views | 84 | 69 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 64 | 64 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 48 | 31 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 42 | 38 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 42 | 40 | $0 |
Insurance plans in this area (ZIP 72118)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | AR | |
| P O D I A T R Y | AR | |
| Physician Assistant | AR | |
| Orthopedic Surgery | AR | |
| Physician Assistant | AR | |
| Physician Assistant | AR | |
| Hand Surgery | AR | |
| Orthopedic Surgery, Sports Medicine | AR | |
| Physical Therapist In Private Practice | AR | |
| - | AR |
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