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DR. STAFFORD AUSTIN CONWAY JR. MD
NPI 1366498206
Psychiatry & Neurology - Neurology in Johnson City, TN

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
410 N STATE OF FRANKLIN RD, SUITE 135, JOHNSON CITY, TN 37604(423) 431-2350(423) 431-2372 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2025, Jun 22, 2023, Jan 19, 2023 and 3 more (6 updates tracked since 2016).

About Dr. Stafford Austin Conway Jr. Md NPPES

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

DR. STAFFORD AUSTIN CONWAY JR. MD (NPI 1366498206) is an individual neurology provider in Johnson City, Tennessee, licensed in Oregon (MD213841) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Deaconess Hospital Inc, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1366498206
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. STAFFORD AUSTIN CONWAY JR.Credential: MD
Location Address410 N STATE OF FRANKLIN RD, SUITE 135Johnson City, TN 37604-6971
Mailing Address410 N State Of Franklin Rd, Suite 135Johnson City, TN 37604-6971 · (423) 431-2350 · Fax (423) 431-2372
Phone(423) 431-2350
Fax(423) 431-2372
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateMay 25, 2006
Last NPPES UpdateJuly 11, 20256 updates tracked since enumeration
NPPES CertifiedJuly 11, 2025
✔ NPI 1366498206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in OR · MD213841✔ Licensed in TX · M7919✔ Licensed in WA · MD60300234✔ Licensed in OH · 35C.000332✔ Licensed in TN · 55273✔ Licensed in VA · 0101279662
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedHospitalistTaxonomy 208M00000X · License 55273 (TN)
410 N STATE OF FRANKLIN RD, Johnson City, TN 37604
Open in Google Maps ↗

Other Names 1

Professional Name (2)Dr. Stafford A Conway Md

Secondary Practice Locations 3

Location 111215 Metro Pkwy Ste 1Fort Myers, FL 33966-1206 · Phone (239) 208-2212
Location 2630 Eaton AveHamilton, OH 45013-2767 · Phone (513) 867-2000 · Fax (513) 867-2119
Location 31250 E Marshall StRichmond, VA 23298-5023 · Phone (804) 828-9350 · Fax (804) 807-7949

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stafford Austin Conway Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870515752
PECOS Enrollment IDI20250805000488
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

9

Medicare enrollment records show Stafford Conway reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blue Ridge Medical Management Corporation
Same address
Neurological Surgery
410 N STATE OF FRANKLIN RD, SUITE 120
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 496 clinicians in this Medicare group
NPI 1003152307 (423) 431-2350
Wellmont Medical Associates, Inc.
2.0 mi
Psychiatry
701 MED TECH PKWY STE 200
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 861 clinicians in this Medicare group
NPI 1275393522 (423) 302-3480
Mcv Associated Physicians
287 mi
Anesthesiology
1250 E MARSHALL ST, MAIN 1-214, BOX 980510
Richmond, VA 23298
  • Reassigned Medicare billing, Virginia enrollment
  • 2,481 clinicians in this Medicare group
NPI 1710959457 (804) 828-8707
Deaconess Hospital, Inc.
302 mi
Clinical Nurse Specialist
4219 GATEWAY BLVD
Newburgh, IN 47630
  • Reassigned Medicare billing, Indiana enrollment
  • 717 clinicians in this Medicare group
NPI 1619755329 (812) 450-7700
Valley Physician Enterprise, Inc.
303 mi
Endocrinology, Diabetes & Metabolism
519 W JUBAL EARLY DR STE 200
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 386 clinicians in this Medicare group
NPI 1578307559 (540) 536-2110
Winchester Medical Center
303 mi
Endocrinology, Diabetes & Metabolism
519 W JUBAL EARLY DR STE 200
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 756 clinicians in this Medicare group
NPI 1659183713 (540) 536-2110
Silverton Health
2,172 mi
Clinic/Center
861 W MAIN ST
Molalla, OR 97038
  • Reassigned Medicare billing, Oregon enrollment
  • 568 clinicians in this Medicare group
NPI 1861116055 (503) 874-5653
Legacy Salmon Creek Hospital
2,177 mi
Clinic/Center
2211 NE 139TH ST
Vancouver, WA 98686
  • Reassigned Medicare billing, Washington enrollment
  • 754 clinicians in this Medicare group
NPI 1356357784 (360) 487-2878
Providence Health & Services - Oregon
2,182 mi
General Acute Care Hospital
9205 SW BARNES RD
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 753 clinicians in this Medicare group
NPI 1114015971 (503) 451-3000

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

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
105 services73 patients
Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth G0408
A follow-up inpatient consultation is a service where your doctor checks on your health progress after initial treatment. It's complex and typically takes about 35 minutes via telehealth, which means you'll talk to your doctor remotely, using technology.
78 services45 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
67 services66 patients
Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth G0406
A follow-up inpatient consultation is a brief, 15-minute check-in with your doctor via telehealth. This allows your physician to monitor your progress, address any concerns, and adjust your treatment plan if necessary. It's an essential part of your ongoing care.
27 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services19 patients
Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth G0508
A telehealth consultation for critical care is a virtual meeting with a physician, typically lasting 60 minutes. Here, the doctor assesses your health condition, provides guidance, and communicates with other care providers, all through digital platforms. It's a safe, convenient way to receive critical care.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

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

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Neurological Surgery
410 N STATE OF FRANKLIN RD, SUITE 120
JOHNSON CITY, TN 37604
Washington County (423) 431-2350
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Internal Medicine
410 N STATE OF FRANKLIN RD, SUITE 135B
JOHNSON CITY, TN 37604
Washington County (423) 431-4866
DR. MELISSA A POWELL M.D.
Surgery (Surgical Critical Care)
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Surgery (Trauma Surgery)
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
RAYMOND SHANE SMITH PA-C
Physician Assistant
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
MR. TED ALLAN WHITE ANP-BC
Nurse Practitioner (Adult Health)
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
ANITA DIANE COBBLE MD
Surgery
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
MR. TANZID SHAMS M.D.
Psychiatry & Neurology (Neurology)
410 N STATE OF FRANKLIN RD, SUITE 135
JOHNSON CITY, TN 37604
Washington County (423) 431-2350

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 Stafford Conway's NPI number?

The NPI number for Stafford Conway is 1366498206. It was assigned to this individual provider in the NPPES registry on May 25, 2006. The provider is also known as Dr. Stafford A Conway MD.

Where is Stafford Conway located?

Stafford Conway practices at 410 N State Of Franklin Rd Suite 135, Johnson City, TN 37604. The listed phone number is (423) 431-2350.

What is Stafford Conway's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Stafford Conway enrolled in Medicare?

Yes. Stafford Conway is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Stafford Conway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stafford Conway reassigns Medicare benefits to 9 organizations: Blue Ridge Medical Management Corporation (Johnson City, TN), Wellmont Medical Associates, Inc. (Johnson City, TN), Mcv Associated Physicians (Richmond, VA), Deaconess Hospital, Inc. (Newburgh, IN), Valley Physician Enterprise, Inc. (Winchester, VA) and 4 more organizations, listed in the Medicare section above. Each 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 Stafford Conway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stafford Conway accept?

Health plans from CareSource and Taro Health list Stafford Conway 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.

Is Stafford Conway affiliated with any hospitals?

According to CMS data, Stafford Conway is affiliated with Deaconess Hospital Inc and Providence St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Stafford Conway was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.