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CONWAY REGIONAL CENTER FOR ORTHOPEDICS AND SPORTS MEDICINE
NPI 1730601451
Orthopaedic Surgery - Sports Medicine in Conway, AR

Active since July 14, 2017
525 WESTERN AVE STE 302, CONWAY, AR 72034(501) 504-6649(501) 328-5518 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 9, 2023, Jul 21, 2022, Dec 30, 2019 and 4 more (7 updates tracked since 2017).

About Conway Regional Center For Orthopedics And Sports Medicine NPPES

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

CONWAY REGIONAL CENTER FOR ORTHOPEDICS AND SPORTS MEDICINE (NPI 1730601451) is a healthcare organization registered as a sports medicine in Conway, Arkansas and active in the NPI registry since July 2017. The organization lists William Pack, Cfo, as its authorized official.

NPPES Registry Identity

NPI1730601451
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NameCONWAY REGIONAL MEDICAL CENTER, INC.
Location Address525 WESTERN AVE STE 302Conway, AR 72034-4981
Mailing AddressPo Box 9662Conway, AR 72033-9662 · (501) 852-1363 · Fax (501) 852-1364
Phone(501) 504-6649
Fax(501) 328-5518
Organization SubpartNo
Authorized OfficialWilliam PackCfo · (501) 450-2112
Enumeration DateJuly 14, 2017
Last NPPES UpdateNovember 9, 20237 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1730601451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
525 WESTERN AVE STE 302, Conway, AR 72034
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Other Names 1

Doing Business AsConway Regional Center For Orthopedics And Sports Medicine

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

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 Center For Orthopedics And Sports Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Conway Regional Center For Orthopedics And Sports Medicine, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Gastroenterology7
Nurse Practitioner5
Anesthesiology4
Internal Medicine4

Clinicians, nearest first (20)

Jevin Smith, MD
Anesthesiology
NPI 1346469681
525 WESTERN AVE SUITE 201
Conway, AR 72034
(501) 327-6665
✔ PECOS✔ Accepts MedicareSame address
Jonathan Lee, MD
Anesthesiology
NPI 1992924203
2302 COLLEGE AVE
Conway, AR 72034
(501) 327-6665
✔ PECOS✔ Accepts MedicareSame address
Anasua Deb, MD
Gastroenterology
NPI 1558981415
2200 ADA AVE STE 201
Conway, AR 72034
(501) 852-1360
✔ PECOS0.1 mi
Amanda Harmon
Nurse Practitioner
NPI 1851185482
2200 ADA AVE STE 201
Conway, AR 72034
(501) 852-1360
✔ PECOS✔ Accepts Medicare0.1 mi
Brittany Burris, APRN
Nurse Practitioner
NPI 1790286904
2200 ADA AVE STE 201
Conway, AR 72034
(501) 852-1360
✔ PECOS✔ Accepts Medicare0.1 mi
Alexandria Mccord
Nurse Practitioner
NPI 1255117818
2200 ADA AVE STE 201
Conway, AR 72034
(501) 852-1360
✔ PECOS✔ Accepts Medicare0.1 mi
Frank Moix, MD
Gastroenterology
NPI 1518950823
2200 ADA AVE SUITE 201
Conway, AR 72034
(501) 932-0282
✔ PECOS✔ Accepts Medicare0.1 mi
Heather Steely, APRN
Nurse Practitioner
NPI 1982902383
2200 ADA AVE STE 301
Conway, AR 72034
(501) 358-6560
✔ PECOS✔ Accepts Medicare0.1 mi
Neelima Rao, MD
Gastroenterology
NPI 1992929152
2200 ADA AVE STE 201
Conway, AR 72034
(501) 852-1360
✔ PECOS✔ Accepts Medicare0.1 mi
Benjamin Tharian, MD MRCP FRACP
Gastroenterology
NPI 1932599164
9501 BAPTIST HEALTH DR STE 900
Little Rock, AR 72205
(501) 219-0721
✔ PECOS✔ Accepts Medicare24 mi
Kelly Wright, APRN
Nurse Practitioner
NPI 1720479223
9501 BAPTIST HEALTH DR STE 900
Little Rock, AR 72205
(501) 219-0721
✔ PECOS✔ Accepts Medicare24 mi
Rodney Mccarver, MD
Anesthesiology
NPI 1831183193
9601 INTERSTATE 630 EXIT 7
Little Rock, AR 72205
(501) 202-2093
✔ PECOS✔ Accepts Medicare24 mi
Meenakshi Budhraja, MD
Gastroenterology
NPI 1700931755
11321 INTERSTATE 30 SUITE 100
Little Rock, AR 72209
(501) 407-2036
✔ PECOS✔ Accepts Medicare30 mi
Ioannis Papayannis, M.D.
Internal Medicine
NPI 1013250554
4800 S HAZEL ST
Pine Bluff, AR 71603
(870) 534-5533
✔ PECOS✔ Accepts Medicare67 mi
Ranga Balasekaran, MD
Gastroenterology
NPI 1518965813
601 W MAPLE AVE SUITE 213
Springdale, AR 72764
(479) 757-8150
✔ PECOS✔ Accepts Medicare121 mi
Thusha Nathan, MD
Internal Medicine
NPI 1295718211
2708 RIFE MEDICAL LANE, SUITE 300
Rogers, AR 72758
(479) 338-3030
✔ PECOS✔ Accepts Medicare129 mi
Johnasan Gregory, M.D.
Internal Medicine
NPI 1699774869
300 N HIGHLAND AVE STE 340
Sherman, TX 75092
(903) 957-0233
✔ PECOS✔ Accepts Medicare258 mi
Rao Meka, M.D.
Gastroenterology
NPI 1275608853
14 MEDICAL PARK
Valley, AL 36854
(334) 756-0005
✔ PECOS✔ Accepts Medicare446 mi
Srinivas Pathapati, MD
Internal Medicine
NPI 1124025374
6833 PLUM CREEK DR
Amarillo, TX 79124
(806) 467-9820
✔ PECOS✔ Accepts Medicare535 mi
Mikio Ranahan
Anesthesiology
NPI 1437544053
101 MANNING DR
Chapel Hill, NC 27514
(974) 984-1000
✔ PECOS✔ Accepts Medicare757 mi

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 1730601451. It was assigned to this organization in the NPPES registry on July 14, 2017. The provider is doing business as Conway Regional Center For Orthopedics And Sports Medicine.

Where is Conway Regional Medical Center, Inc. located?

Conway Regional Medical Center, Inc. is located at 525 Western Ave Ste 302, Conway, AR 72034. The listed phone number is (501) 504-6649.

What is Conway Regional Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

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), 20 clinicians in 4 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 Gastroenterology (7), Nurse Practitioner (5) and Anesthesiology (4). Of these, 1 practice at this address and 9 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 November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.