WILLIAM L. MCCOLGAN III, MD, PA
NPI 1306072269
Surgery in Conway, AR
About William L. Mccolgan Iii, Md, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAM L. MCCOLGAN III, MD, PA (NPI 1306072269) is a healthcare organization registered as a surgery in Conway, Arkansas and active in the NPI registry since June 2009. The organization lists William Lewis Mccolgan, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
William L. Mccolgan Iii, Md, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to William L. Mccolgan III, MD, PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 William L. Mccolgan, III, M.D., PA's NPI number?
The NPI number for William L. Mccolgan, III, M.D., PA is 1306072269. It was assigned to this organization in the NPPES registry on June 5, 2009. The provider is doing business as William L. Mccolgan III, MD, PA.
Where is William L. Mccolgan, III, M.D., PA located?
William L. Mccolgan, III, M.D., PA is located at 2425 Dave Ward Dr Ste 201, Conway, AR 72034. The listed phone number is (501) 504-2737.
What is William L. Mccolgan, III, M.D., PA's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is William L. Mccolgan, III, M.D., PA enrolled in Medicare?
Yes. William L. Mccolgan, III, M.D., PA is registered in the Medicare PECOS enrollment system.
When is William L. Mccolgan, III, M.D., PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through William L. Mccolgan, III, M.D., PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to William L. Mccolgan, III, M.D., PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does William L. Mccolgan, III, M.D., PA 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 William L. Mccolgan, III, M.D., 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 William L. Mccolgan, III, M.D., PA was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# William L. Mccolgan Iii, Md, Pa · NPI 1306072269
Surgery organization in Conway, Arkansas. Organization record, active in the CMS NPPES registry since June 5, 2009.
## Identity
- **NPI:** 1306072269 (Entity type: Organization)
- **Enumerated:** June 5, 2009
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Legal business name:** William L. Mccolgan, Iii, M.d., Pa
- **Organization subpart:** No
- **Authorized official:** William Mccolgan, OWNER
## Practice location
- **Address:** 2425 DAVE WARD DR STE 201, Conway, AR 72034-8680
- **Phone:** (501) 504-2737 · **Fax:** (501) 504-2798
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (General Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 3, 2020
- **Other identifiers:** Medicaid 179822002 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1306072269) · Data from the CMS NPPES public registry.