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CONWAY REGIONAL MEDICAL CENTER INC
NPI 1184454399
Otolaryngology in Conway, AR

Active since August 02, 2024
525 WESTERN AVE STE 302A, CONWAY, AR 72034(501) 205-8095(501) 205-8533 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 30, 2025, Sep 20, 2024, Aug 2, 2024 (3 updates tracked since 2024).

About Conway Regional Medical Center Inc NPPES

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

CONWAY REGIONAL MEDICAL CENTER INC (NPI 1184454399), doing business as Conway Regional Ear, Nose, And Throat Clinic, is a healthcare organization registered as an otolaryngology in Conway, Arkansas and active in the NPI registry since August 2024. The organization lists William Pack, Cfo, as its authorized official.

NPPES Registry Identity

NPI1184454399
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameCONWAY REGIONAL MEDICAL CENTER INC
Location Address525 WESTERN AVE STE 302AConway, AR 72034-4981
Mailing AddressPo Box 9662Conway, AR 72033-9662 · (501) 852-1363 · Fax (501) 852-1364
Phone(501) 205-8095
Fax(501) 205-8533
Organization SubpartNo
Authorized OfficialWilliam PackCfo · (501) 450-2112
Enumeration DateAugust 2, 2024
Last NPPES UpdateMay 30, 20253 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
✔ NPI 1184454399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedAudiologistTaxonomy 231H00000X
525 WESTERN AVE STE 302A, Conway, AR 72034
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Other Names 1

Doing Business AsConway Regional Ear, Nose, And Throat Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Conway Regional Medical Center Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Phillip Ballinger, M.D.
Otolaryngology
NPI 1174571749
525 WESTERN AVE STE 302A
Conway, AR 72034
(501) 205-8095
✔ PECOS✔ Accepts MedicareSame address
Lillian Jones, AUD
Qualified Audiologist
NPI 1386537389
525 WESTERN AVE STE 302A
Conway, AR 72034
(501) 205-8095
✔ Accepts MedicareSame address

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 1184454399. It was assigned to this organization in the NPPES registry on August 2, 2024. The provider is doing business as Conway Regional Ear, Nose, and Throat Clinic.

Where is Conway Regional Medical Center Inc located?

Conway Regional Medical Center Inc is located at 525 Western Ave Ste 302A, Conway, AR 72034. The listed phone number is (501) 205-8095.

What is Conway Regional Medical Center Inc's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

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), 2 clinicians reassign their Medicare billing to Conway Regional Medical Center Inc, in Otolaryngology and Qualified Audiologist. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Conway Regional Medical Center Inc was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.