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CONWAY REGIONAL RENAISSANCE WOMEN'S CENTER
NPI 1255958708
Obstetrics & Gynecology in Conway, AR

Active since July 01, 2020CLIA Certified · 2 labs
2300 ROBINSON AVE, CONWAY, AR 72034(501) 548-6100(501) 548-6105 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 9, 2023, Jul 1, 2020 (2 updates tracked since 2020).

About Conway Regional Renaissance Women's Center NPPES

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

CONWAY REGIONAL RENAISSANCE WOMEN'S CENTER (NPI 1255958708) is a healthcare organization registered as an obstetrics & gynecology in Conway, Arkansas and active in the NPI registry since July 2020. The organization holds 2 active CLIA laboratory certificates and lists William Pack, Cfo, as its authorized official.

NPPES Registry Identity

NPI1255958708
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameCONWAY REGIONAL MEDICAL CENTER INC
Location Address2300 ROBINSON AVEConway, AR 72034-4945
Mailing Address2300 Robinson AveConway, AR 72034-4945 · (501) 548-6100 · Fax (501) 548-6105
Phone(501) 548-6100
Fax(501) 548-6105
Organization SubpartNo
Authorized OfficialWilliam PackCfo · (501) 450-2112
Enumeration DateJuly 1, 2020
Last NPPES UpdateNovember 9, 20232 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1255958708 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.
2300 ROBINSON AVE, Conway, AR 72034
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Other Names 1

Doing Business AsConway Regional Renaissance Women's Center

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 Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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 Renaissance Women's Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Conway Regional Renaissance Women's Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Stephanie Rittman, APRN
Nurse Practitioner
NPI 1730851775
2300 ROBINSON AVE
Conway, AR 72034
(501) 548-6100
✔ PECOS✔ Accepts MedicareSame address
Valerie Rogers, APRN
Nurse Practitioner
NPI 1972484772
2300 ROBINSON AVE
Conway, AR 72034
(501) 548-6100
✔ PECOS✔ Accepts MedicareSame address
Courtney Sick, M.D.
Obstetrics/Gynecology
NPI 1437477189
2300 ROBINSON AVE
Conway, AR 72034
(501) 548-6100
✔ PECOS✔ Accepts MedicareSame address
Kala Slaton, MD
Obstetrics/Gynecology
NPI 1568825354
2300 ROBINSON AVE
Conway, AR 72034
(501) 548-6100
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA 2

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) 04D2027599

Conway Regional Renaissance Women's Center · Conway, AR
Active · expires Jul 27, 2027
CLIA Number04D2027599
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorKala Slaton
Laboratory Phone(501) 548-6100
Laboratory LocationConway Regional Renaissance Women's Center2300 Robinson Ave, 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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 04D2193110

Conway Regional Renaissance Women's Clinic Morrilton · Morrilton, AR
Active · expires Sep 16, 2028
CLIA Number04D2193110
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 2026
Certificate Expiration DateSeptember 16, 2028
Laboratory DirectorDr. Kala Slaton
Laboratory Phone(501) 548-6100
Laboratory LocationConway Regional Renaissance Women's Clinic Morrilton2 Hospital Drive, Suite 101, Morrilton, AR 72110
CLIA data matches this NPI record on: 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.

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 1255958708. It was assigned to this organization in the NPPES registry on July 1, 2020. The provider is doing business as Conway Regional Renaissance Women's Center.

Where is Conway Regional Medical Center Inc located?

Conway Regional Medical Center Inc is located at 2300 Robinson Ave, Conway, AR 72034. The listed phone number is (501) 548-6100.

What is Conway Regional Medical Center Inc's specialty?

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

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), 4 clinicians reassign their Medicare billing to Conway Regional Medical Center Inc, in Nurse Practitioner and Obstetrics/Gynecology. 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, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Conway Regional Medical Center Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 1 other insurer 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.