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BAPTIST HEALTH FAMILY CLINIC - CONWAY
NPI 1588012728
Family Medicine in Conway, AR

Active since May 27, 2016CLIA 04D2115088 · Waiver
625 UNITED DR STE 120A, CONWAY, AR 72032(501) 358-6720(501) 358-6726 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 11, 2019, May 23, 2017 (2 updates tracked since 2017).

About Baptist Health Family Clinic - Conway NPPES

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

BAPTIST HEALTH FAMILY CLINIC - CONWAY (NPI 1588012728) is a healthcare organization registered as a family medicine in Conway, Arkansas and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through June 30, 2027 and lists Will Rusher, Ceo, as its authorized official.

NPPES Registry Identity

NPI1588012728
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameARKANSAS HEALTH GROUP
Location Address625 UNITED DR STE 120AConway, AR 72032-7826
Mailing Address11001 Executive Center Dr Ste 200Little Rock, AR 72211-4393 · (501) 812-7215 · Fax (501) 812-7207
Phone(501) 358-6720
Fax(501) 358-6726
Organization SubpartNo
Authorized OfficialWill RusherCeo · (501) 812-7503
Enumeration DateMay 27, 2016
Last NPPES UpdateSeptember 29, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2023
✔ NPI 1588012728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
625 UNITED DR STE 120A, Conway, AR 72032
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Other Names 1

Doing Business AsBaptist Health Family Clinic - Conway

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Baptist Health Family Clinic - Conway is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Baptist Health Family Clinic - Conway, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Karen Fulgham, ANP
Nurse Practitioner
NPI 1710934526
625 UNITED DR STE 120A
Conway, AR 72032
(501) 358-6720
✔ PECOS✔ Accepts MedicareSame address
Corey Greene, APRN, CNP
Nurse Practitioner
NPI 1881454601
625 UNITED DR STE 120A
Conway, AR 72032
(501) 358-6720
✔ PECOS✔ Accepts MedicareSame address
Michael Carson, M.D.
Family Practice
NPI 1477999282
605 UNITED DR
Conway, AR 72032
(501) 358-6720
✔ PECOS✔ Accepts Medicare0.1 mi
Meryem Maras-Casey, MD
Internal Medicine
NPI 1043708092
605 SALEM RD STE B3
Conway, AR 72034
(501) 585-3935
✔ PECOS✔ Accepts Medicare3.6 mi
Mckenzie Cotton, APRN, FNP-C
Nurse Practitioner
NPI 1023617594
1065 SKYLINE DR
Conway, AR 72032
(501) 499-6222
✔ PECOS3.8 mi
Ashley Shuffield, MD
Family Practice
NPI 1508328253
102 TOWNE CENTRE DR STE 2
Maumelle, AR 72113
(501) 614-2470
✔ PECOS✔ Accepts Medicare14 mi
Adam Grant, D.O.
Family Practice
NPI 1487074639
401 W CAPITOL AVE
Little Rock, AR 72201
(501) 374-2626
✔ PECOS✔ Accepts Medicare23 mi

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

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 04D2115088

Baptist Health Family Clinic - Conway · Conway, AR
Active · expires Jun 30, 2027
CLIA Number04D2115088
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorWhitney P. Eason
Laboratory Phone(501) 358-6720
Laboratory LocationBaptist Health Family Clinic - Conway625 United Drive, Suite 120, Conway, AR 72032
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Arkansas Health Group's NPI number?

The NPI number for Arkansas Health Group is 1588012728. It was assigned to this organization in the NPPES registry on May 27, 2016. The provider is doing business as Baptist Health Family Clinic - Conway.

Where is Arkansas Health Group located?

Arkansas Health Group is located at 625 United Dr Ste 120A, Conway, AR 72032. The listed phone number is (501) 358-6720.

What is Arkansas Health Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Arkansas Health Group enrolled in Medicare?

Yes. Arkansas Health Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Arkansas Health Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Arkansas Health Group. 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 Family Practice (3), Nurse Practitioner (3) and Internal Medicine (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Arkansas Health Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2115088) is associated with this NPI, valid through June 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Arkansas Health Group 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 Arkansas Health Group 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 Arkansas Health Group was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.