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CONWAY OB-GYN CLINIC PA
NPI 1235198045
Obstetrics & Gynecology in Conway, AR

Active since March 21, 2006CLIA 04D0703587 · Microscopy
2180 ADA AVENUE, SUITE 300, CONWAY, AR 72034(501) 327-6547(501) 327-9715 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Conway Ob-gyn Clinic Pa NPPES

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

CONWAY OB-GYN CLINIC PA (NPI 1235198045) is a healthcare organization registered as an obstetrics & gynecology in Conway, Arkansas and active in the NPI registry since March 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Robin Carol Fagala, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1235198045
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameCONWAY OB-GYN CLINIC PA
Location Address2180 ADA AVENUE, SUITE 300Conway, AR 72034-6135
Mailing Address2180 Ada Avenue, Suite 300Conway, AR 72034-6135 · (501) 327-6547 · Fax (501) 327-9715
Phone(501) 327-6547
Fax(501) 327-9715
Organization SubpartNo
Authorized OfficialRobin Carol FagalaPractice Manager · (501) 327-6547
Enumeration DateMarch 21, 2006
Last NPPES UpdateNovember 4, 2020
NPPES CertifiedNovember 3, 2020
✔ NPI 1235198045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2180 ADA AVENUE, Conway, AR 72034
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Other Identifiers 1

Medicaid115352002AR

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 04D0703587

Conway Ob Gyn Clinic · Conway, AR
Active · expires Aug 31, 2026
CLIA Number04D0703587
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Andrew A. Cole
Laboratory Phone(501) 327-6547
Laboratory LocationConway Ob Gyn Clinic2180 Ada Avenue, Suite 300, Conway, AR 72034
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEITHA DEWITT HOLLAND MD
Obstetrics & Gynecology
2180 ADA AVENUE, SUITE 300
CONWAY, AR 72034
Faulkner County (501) 327-6547
LAUREN NOLEN M.D.
Obstetrics & Gynecology
2180 ADA AVENUE, SUITE 300
CONWAY, AR 72034
Faulkner County (501) 327-6547
PHILLIP THOMAS GULLIC MD
Obstetrics & Gynecology
2180 ADA AVENUE, SUITE 300
CONWAY, AR 72034
Faulkner County (501) 327-6547
ANDREW AXLEY COLE MD
Obstetrics & Gynecology
2180 ADA AVENUE, SUITE 300
CONWAY, AR 72034
Faulkner County (501) 327-6547

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 Ob-Gyn Clinic PA's NPI number?

The NPI number for Conway Ob-Gyn Clinic PA is 1235198045. It was assigned to this organization in the NPPES registry on March 21, 2006.

Where is Conway Ob-Gyn Clinic PA located?

Conway Ob-Gyn Clinic PA is located at 2180 Ada Avenue Suite 300, Conway, AR 72034. The listed phone number is (501) 327-6547.

What is Conway Ob-Gyn Clinic PA's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Conway Ob-Gyn Clinic PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D0703587) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Conway Ob-Gyn Clinic PA accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Conway Ob-Gyn Clinic PA 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 Ob-Gyn Clinic PA was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.