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CONWAY REGIONAL MEDICAL CENTER INC
NPI 1417024662
General Acute Care Hospital in Conway, AR

Active since November 30, 2006
2302 COLLEGE AVE, CONWAY, AR 72034(501) 513-5793(501) 513-5417 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 31, 2026, Apr 16, 2018, Nov 7, 2016 (3 updates tracked since 2016).

About Conway Regional Medical Center Inc NPPES

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

CONWAY REGIONAL MEDICAL CENTER INC (NPI 1417024662) is a healthcare organization registered as a general acute care hospital in Conway, Arkansas and active in the NPI registry since November 2006. The organization lists Mollie Parks, Cfo, as its authorized official.

NPPES Registry Identity

NPI1417024662
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameCONWAY REGIONAL MEDICAL CENTER INC
Location Address2302 COLLEGE AVEConway, AR 72034-6297
Mailing Address2302 College AveConway, AR 72034-6297 · (501) 513-5793 · Fax (501) 513-5417
Phone(501) 513-5793
Fax(501) 513-5417
Organization SubpartNo
Authorized OfficialMollie ParksCfo · (501) 428-3076
Enumeration DateNovember 30, 2006
Last NPPES UpdateJuly 31, 20263 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1417024662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in AR · 2657
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
2302 COLLEGE AVE, Conway, AR 72034
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Other Identifiers 2

Medicaid102222002AR
Other207P00000XAR · Taxonomy

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 Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

62

Medicare enrollment records show 62 clinicians reassign Medicare billing to Conway Regional Medical Center Inc, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Emergency Medicine28
Family Practice9
Nurse Practitioner8
Cardiovascular Disease (Cardiology)7
Interventional Cardiology5
Clinical Psychologist1
Geriatric Psychiatry1
Internal Medicine1
2 other specialties2

Nearest to this location (20)

See all 62
Darren Freeman, M.D.
Family Practice
NPI 1740442284
2302 COLLEGE AVE STE 100
Conway, AR 72034
(501) 513-5385
✔ PECOS✔ Accepts MedicareSame address
Robert Balentine, M.D.
Family Practice
NPI 1609927706
2302 COLLEGE AVE
Conway, AR 72034
(501) 329-3831
✔ PECOSSame address
Todd Carter, M.D.
Emergency Medicine
NPI 1902832710
2302 COLLEGE AVENUE
Conway, AR 72034
(501) 513-5793
✔ PECOSSame address
Laura Dill, APRN
Nurse Practitioner
NPI 1770007700
2302 COLLEGE AVE
Conway, AR 72034
(501) 329-3831
✔ PECOS✔ Accepts MedicareSame address
Myra Grantham, NP
Nurse Practitioner
NPI 1528459799
2302 COLLEGE AVE
Conway, AR 72034
(501) 329-3831
✔ PECOS✔ Accepts MedicareSame address
Michael Fahr, M.D.
Emergency Medicine
NPI 1477540607
2302 COLLEGE AVE
Conway, AR 72034
(501) 513-5793
✔ PECOS✔ Accepts MedicareSame address
Evan Gregory, M.D.
Emergency Medicine
NPI 1659507317
2302 COLLEGE AVE
Conway, AR 72034
(501) 450-2178
✔ PECOS✔ Accepts MedicareSame address
Jason Skinner, M.D.
Emergency Medicine
NPI 1891782959
2302 COLLEGE AVE
Conway, AR 72034
(501) 513-5793
✔ PECOS✔ Accepts MedicareSame address
Joshua Post, M.D.
Emergency Medicine
NPI 1093987810
2302 COLLEGE AVE
Conway, AR 72034
(501) 513-5793
✔ PECOSSame address
Mark Clark, PHD
Clinical Psychologist
NPI 1306921853
2200 ADA AVE STE 302
Conway, AR 72034
(501) 932-0352
✔ PECOS✔ Accepts Medicare0.1 mi
Annette Anderson, MD
Geriatric Psychiatry
NPI 1811170301
2200 ADA AVE STE 302A
Conway, AR 72034
(501) 932-0352
✔ PECOS✔ Accepts Medicare0.1 mi
William Furlow, MD
Internal Medicine
NPI 1366480055
437 DENISON ST
Conway, AR 72034
(501) 327-1325
✔ PECOS✔ Accepts Medicare0.5 mi
Tiffany Epperson, APRN
Nurse Practitioner
NPI 1578970364
550 CLUB LN SUITE 1
Conway, AR 72034
(501) 329-1510
✔ PECOS✔ Accepts Medicare1.0 mi
Kimberly Blake, FNP-C
Nurse Practitioner
NPI 1689971749
1125 SKYLINE DR
Conway, AR 72032
(501) 358-6120
✔ PECOS✔ Accepts Medicare2.0 mi
Rhonda Begley, APRN
Nurse Practitioner
NPI 1730605213
1125 SKYLINE DR
Conway, AR 72032
(501) 358-6120
✔ PECOS✔ Accepts Medicare2.0 mi
Raymond Clark, MD
Psychiatry
NPI 1750483699
5330 PLANTATION CV
Conway, AR 72034
(501) 472-7697
✔ PECOS✔ Accepts Medicare3.7 mi
Robin Goodman, MD
Pediatric Medicine
NPI 1063526606
4 HOSPITAL DR
Morrilton, AR 72110
(501) 977-2300
✔ PECOS✔ Accepts Medicare16 mi
Zsolt Sandor, MD
Emergency Medicine
NPI 1952448284
203 SOLOGNE CT
Little Rock, AR 72223
(501) 912-5962
✔ PECOS✔ Accepts Medicare21 mi
Rebekah Bowling, APRN
Nurse Practitioner
NPI 1740543347
1 LILE CT STE 100
Little Rock, AR 72205
(501) 202-1902
✔ PECOS✔ Accepts Medicare24 mi
Abdel Rahman Al Emam, MD
Interventional Cardiology
NPI 1679875017
10100 KANIS RD
Little Rock, AR 72205
(501) 255-6000
✔ PECOS✔ Accepts Medicare24 mi
See all 62 clinicians

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 Conway Regional Medical Center Inc's NPI number?

The NPI number for Conway Regional Medical Center Inc is 1417024662. It was assigned to this organization in the NPPES registry on November 30, 2006.

Where is Conway Regional Medical Center Inc located?

Conway Regional Medical Center Inc is located at 2302 College Ave, Conway, AR 72034. The listed phone number is (501) 513-5793.

What is Conway Regional Medical Center Inc's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

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), 62 clinicians in 10 Medicare specialties reassign their Medicare billing to Conway Regional Medical Center Inc. 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. The largest specialties are Emergency Medicine (28), Family Practice (9) and Nurse Practitioner (8). Of these, 9 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Conway Regional Medical Center Inc was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.