CONWAY REGIONAL MEDICAL CLINIC-VILONIA
NPI 1063798858
Clinic/Center - Rural Health in Vilonia, AR

Active since October 25, 2011
1159 MAIN ST, VILONIA, AR 72173(501) 796-8484(501) 796-2453 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 9, 2023, Apr 26, 2022, Feb 1, 2021 and 2 more (5 updates tracked since 2018).

About Conway Regional Medical Clinic-vilonia NPPES

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

CONWAY REGIONAL MEDICAL CLINIC-VILONIA (NPI 1063798858) is a healthcare organization registered as a rural health in Vilonia, Arkansas and active in the NPI registry since October 2011. The organization lists William Pack, Cfo, as its authorized official.

NPPES Registry Identity

NPI1063798858
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCONWAY REGIONAL MEDICAL CENTER INC
Location Address1159 MAIN STVilonia, AR 72173-9525
Mailing AddressPo Box 9662Conway, AR 72033-9662 · (501) 852-1363
Fax(501) 796-2453
Organization SubpartNo
Authorized OfficialWilliam PackCfo · (501) 450-2112
Enumeration DateOctober 25, 2011
Last NPPES UpdateNovember 9, 20235 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1063798858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedInternal MedicineTaxonomy 207R00000X · License E5175 (AR)
1159 MAIN ST, Vilonia, AR 72173

Other Names 1

Doing Business AsConway Regional Medical Clinic-vilonia

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Conway Regional Medical Clinic-vilonia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

44

Medicare enrollment records show 44 clinicians reassign Medicare billing to Conway Regional Medical Clinic-Vilonia, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner19
Family Practice15
Internal Medicine6
Clinical Social Worker1
Hospitalist1
Pediatric Medicine1
Psychiatry1

Nearest to this location (20)

See all 44
Family Practice
NPI 1750349858
1159 MAIN STREET
Vilonia, AR 72173
(501) 796-8484
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1306060561
1122 MAIN STREET SUITE 7
Vilonia, AR 72173
(501) 796-2791
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1962762005
1159 MAIN ST
Vilonia, AR 72173
(501) 796-8484
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1053810101
1500 MUSEUM RD
Conway, AR 72032
(501) 932-9010
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1700207339
1301 MUSEUM RD
Conway, AR 72032
(501) 932-0559
✔ PECOS✔ Accepts Medicare12 mi
Hospitalist
NPI 1770014490
1700 ALTUS ST
Conway, AR 72032
(501) 513-5909
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1134354293
1700 ALTUS ST
Conway, AR 72032
(501) 513-5909
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1699763441
1700 ALTUS ST STE 110
Conway, AR 72032
(501) 450-1448
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1730851775
2300 ROBINSON AVE
Conway, AR 72034
(501) 548-6100
✔ PECOS✔ Accepts Medicare15 mi
Internal Medicine
NPI 1023059193
2302 COLLEGE AVE STE 100
Conway, AR 72034
(501) 513-5385
✔ PECOS✔ Accepts Medicare15 mi
Internal Medicine
NPI 1306307657
2302 COLLEGE AVE STE 100
Conway, AR 72034
(501) 513-5385
✔ PECOS✔ Accepts Medicare15 mi
Family Practice
NPI 1740442284
2302 COLLEGE AVE STE 100
Conway, AR 72034
(501) 513-5385
✔ PECOS✔ Accepts Medicare15 mi
Internal Medicine
NPI 1962865162
2302 COLLEGE AVE STE 100
Conway, AR 72034
(501) 513-5385
✔ PECOS✔ Accepts Medicare15 mi
Family Practice
NPI 1922629666
1 MEDICAL LN
Conway, AR 72034
(501) 329-2948
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1295193191
1 MEDICAL LN
Conway, AR 72034
(501) 329-2948
✔ PECOS✔ Accepts Medicare15 mi
Family Practice
NPI 1093030918
437 DENISON ST
Conway, AR 72034
(501) 327-1325
✔ PECOS✔ Accepts Medicare15 mi
Clinical Social Worker
NPI 1508010943
437 DENISON ST
Conway, AR 72034
(501) 852-1363
✔ PECOS✔ Accepts Medicare15 mi
Family Practice
NPI 1295732816
437 DENISON ST
Conway, AR 72034
(501) 327-1325
✔ PECOS✔ Accepts Medicare15 mi
Family Practice
NPI 1477949238
437 DENISON ST
Conway, AR 72034
(501) 327-1325
✔ PECOS✔ Accepts Medicare15 mi
Internal Medicine
NPI 1932137148
587 HWY 365
Mayflower, AR 72106
(501) 470-7413
✔ PECOS✔ Accepts Medicare15 mi
See all 44 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Conway Regional Medical Center Inc's NPI number?

The NPI number for Conway Regional Medical Center Inc is 1063798858. It was assigned to this organization in the NPPES registry on October 25, 2011. The provider is doing business as Conway Regional Medical Clinic-Vilonia.

Where is Conway Regional Medical Center Inc located?

Conway Regional Medical Center Inc is located at 1159 Main St, Vilonia, AR 72173. The listed phone number is (501) 796-8484.

What is Conway Regional Medical Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Conway Regional Medical Center Inc enrolled in Medicare?

Yes. Conway Regional Medical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Conway Regional Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 44 clinicians in 7 Medicare specialties reassign their Medicare billing to Conway Regional Medical Center Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (19), Family Practice (15) and Internal Medicine (6). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Conway Regional Medical Center Inc accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Conway Regional Medical Center Inc 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 Conway Regional Medical Center Inc was last updated on November 9, 2023. 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.