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INTERVENTIONAL PAIN SPECIALISTS OF NWA, PLLC
NPI 1295032407
Pain Medicine - Interventional Pain Medicine in Fayetteville, AR

Active since February 24, 2011CLIA 04D2072874 · Waiver
509 E MILLSAP RD STE 109, FAYETTEVILLE, AR 72703(479) 595-8192(479) 442-1748 Get Directions Write a Review

NPPES record last updated: February 24, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Interventional Pain Specialists Of Nwa, Pllc NPPES

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

INTERVENTIONAL PAIN SPECIALISTS OF NWA, PLLC (NPI 1295032407) is a healthcare organization registered as an interventional pain medicine in Fayetteville, Arkansas and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through February 6, 2028 and lists Loddie Conway, Receptionist, as its authorized official.

NPPES Registry Identity

NPI1295032407
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameINTERVENTIONAL PAIN SPECIALISTS OF NWA, PLLC
Location Address509 E MILLSAP RD STE 109Fayetteville, AR 72703-4862
Mailing Address509 E Millsap Rd Ste 109Fayetteville, AR 72703-4862 · (479) 595-8192 · Fax (479) 442-1748
Phone(479) 595-8192
Fax(479) 442-1748
Organization SubpartNo
Authorized OfficialLoddie ConwayReceptionist · (479) 595-8192
Enumeration DateFebruary 24, 2011
✔ NPI 1295032407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
509 E MILLSAP RD STE 109, Fayetteville, AR 72703
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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 of Waiver 04D2072874

Interventional Pain Specialists Of Nwa · Fayetteville, AR
Active · expires Feb 6, 2028
CLIA Number04D2072874
Laboratory TypePhysician Office
Certificate Effective DateFebruary 7, 2026
Certificate Expiration DateFebruary 6, 2028
Laboratory DirectorJaneann E. Hanson
Laboratory Phone(479) 595-8192
Laboratory LocationInterventional Pain Specialists Of Nwa4019 N Remington Dr, Fayetteville, AR 72703
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MR. SCOTT MASHBURN
Counselor (Addiction (Substance Use Disorder))
509 E MILLSAP RD STE 109
FAYETTEVILLE, AR 72703
Washington County (479) 935-2300

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 Interventional Pain Specialists Of Nwa, PLLC's NPI number?

The NPI number for Interventional Pain Specialists Of Nwa, PLLC is 1295032407. It was assigned to this organization in the NPPES registry on February 24, 2011.

Where is Interventional Pain Specialists Of Nwa, PLLC located?

Interventional Pain Specialists Of Nwa, PLLC is located at 509 E Millsap Rd Ste 109, Fayetteville, AR 72703. The listed phone number is (479) 595-8192.

What is Interventional Pain Specialists Of Nwa, PLLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does Interventional Pain Specialists Of Nwa, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2072874) is associated with this NPI, valid through February 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Interventional Pain Specialists Of Nwa, PLLC 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 Interventional Pain Specialists Of Nwa, PLLC 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 Interventional Pain Specialists Of Nwa, PLLC was last updated on February 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.