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TILLEY FAMILY MEDICINE, PA
NPI 1679581730
Family Medicine in Conway, AR

Active since August 04, 2006CLIA 04D0951973 · Microscopy
495 HOGAN LN, SUITE 1, CONWAY, AR 72034(501) 327-1150(501) 327-3427 Get Directions Write a Review

NPPES record last updated: September 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tilley Family Medicine, Pa NPPES

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

TILLEY FAMILY MEDICINE, PA (NPI 1679581730) is a healthcare organization registered as a family medicine in Conway, Arkansas and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through September 30, 2026 and lists Brenda Leigh Stone, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1679581730
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTILLEY FAMILY MEDICINE, PA
Location Address495 HOGAN LN, SUITE 1Conway, AR 72034-8201
Mailing Address495 Hogan Ln, Suite 1Conway, AR 72034-8201 · (501) 327-1150 · Fax (501) 327-3427
Phone(501) 327-1150
Fax(501) 327-3427
Organization SubpartNo
Authorized OfficialBrenda Leigh StoneOffice Manager · (501) 327-1150
Enumeration DateAugust 4, 2006
Last NPPES UpdateSeptember 14, 2015
✔ NPI 1679581730 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.
495 HOGAN LN, Conway, AR 72034
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Other Identifiers 2

Medicare ID-Type Unspecified5C441AR
Medicaid134809002AR

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 for Provider-Performed Microscopy Procedures (PPMP) 04D0951973

Tilley Family Medicine · Conway, AR
Active · expires Sep 30, 2026
CLIA Number04D0951973
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorDr. James B. Tilley
Laboratory Phone(501) 327-1150
Laboratory LocationTilley Family Medicine495 Hogan Ste 1, Conway, AR 72034
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

CYNTHIA LOU GRUBBS APN
Nurse Practitioner (Family)
495 HOGAN LN
CONWAY, AR 72034
Faulkner County (501) 327-1150
JODY SHAWN CLAWSON A.P.N.
Nurse Practitioner (Family)
495 HOGAN LN, SUITE 2
CONWAY, AR 72034
Faulkner County (501) 327-5850

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 Tilley Family Medicine, PA's NPI number?

The NPI number for Tilley Family Medicine, PA is 1679581730. It was assigned to this organization in the NPPES registry on August 4, 2006.

Where is Tilley Family Medicine, PA located?

Tilley Family Medicine, PA is located at 495 Hogan Ln Suite 1, Conway, AR 72034. The listed phone number is (501) 327-1150.

What is Tilley Family Medicine, PA's specialty?

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

Does Tilley Family Medicine, PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D0951973) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tilley Family Medicine, PA 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 Tilley Family Medicine, 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 Tilley Family Medicine, PA was last updated on September 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.