CHARLETTE A SMALL — NPI 1104522796 (Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) in ABSAROKEE, MT)

CMS-1500 Box 24J / 33a • NPI

1104522796

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207Q00000X (CMS 08)

Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)

Box 32 Service Location & ZIP+4

45 COTTONWOOD WAY, ABSAROKEE, MT, 59001-6211

✓ 9-Digit EDI 837 ZIP+4 (59001-6211)

Practice Phone & Referral Fax

(406) 328-7448

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1104522796 (CHARLETTE A SMALL) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1104522796` (NPI-1 Individual Practitioner)
Provider / Legal Name	CHARLETTE A SMALL
Plain-English Specialty	Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) NUCC Code: `207Q00000X` (Family Medicine)
Certifying / Licensing Body	American Board of Family Medicine (ABFM)
Practice Location Address	45 COTTONWOOD WAY, ABSAROKEE, MT, 59001-6211
Practice Telephone / Fax	Tel: (406) 328-7448
Administrative Mailing Address	45 COTTONWOOD WAY, ABSAROKEE, MT, 59001-6211
Enumeration & Last Sync	Enumerated: 2023-02-06 \| CMS Record Updated: 2023-02-06

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

45 COTTONWOOD WAY, ABSAROKEE, MT, 59001-6211

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Plain-English Taxonomy & CMS Crosswalk (207Q00000X)

What Does Taxonomy Code 207Q00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Q00000X translates to:
"Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 08 (Physician/Family Practice)
Certifying / Accrediting Authority: American Board of Family Medicine (ABFM)
Clinical Scope: Annual checkups, blood pressure and diabetes management, BMI and fatty liver screening, urinary tract infections, vaccinations, and continuity of care for the whole family.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CHARLETTE A SMALL)

Typical CPT / Diagnostic Procedures:

Comprehensive Annual Preventive Physical Examination & Cardiometabolic Screening
Outpatient ECG / EKG Interpretation (CPT 93000) & Ambulatory BP Monitoring
Point-of-Care HbA1c, Lipid Panel, Urinalysis & BMI Risk Stratification
Minor Office Procedures: Wound Suturing, Abscess Drainage & Joint Injections
Adult & Pediatric Immunization Administration (Tetanus/Tdap, Influenza, HPV)

Common Therapeutic Classes:

Metformin, SGLT2 Inhibitors & GLP-1 Receptor Agonists (Type 2 Diabetes)
Lisinopril, Losartan & Amlodipine (First-Line Hypertension Management)
Atorvastatin & Rosuvastatin (Cardiovascular Lipid Optimization)
Nitrofurantoin, Trimethoprim-Sulfamethoxazole & Ciprofloxacin (Outpatient UTIs)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207Q00000X` — Family Medicine Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)	State: MT \| License: `212613` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CHARLETTE A SMALL (NPI #1104522796)