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CONWAY WOMENS HEALTH CENTER PA
NPI 1770510042
Specialist in Conway, AR

Active since June 26, 2006
2519 COLLEGE AVE, CONWAY, AR 72034(501) 450-3920(501) 450-7718 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Conway Womens Health Center Pa NPPES

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

CONWAY WOMENS HEALTH CENTER PA (NPI 1770510042) is a healthcare organization registered as a specialist in Conway, Arkansas and active in the NPI registry since June 2006. The organization lists Debra C Lawrence, President, as its authorized official.

NPPES Registry Identity

NPI1770510042
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCONWAY WOMENS HEALTH CENTER PA
Location Address2519 COLLEGE AVEConway, AR 72034-6135
Mailing Address2519 College AveConway, AR 72034-6135 · (501) 450-3920 · Fax (501) 450-7718
Phone(501) 450-3920
Fax(501) 450-7718
Organization SubpartNo
Authorized OfficialDebra C LawrencePresident · (501) 450-3920
Enumeration DateJune 26, 2006
Last NPPES UpdateJune 8, 2021
NPPES CertifiedJune 8, 2021
✔ NPI 1770510042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AR · MC1581
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2519 COLLEGE AVE, Conway, AR 72034
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Other Identifiers 1

Medicaid128037002AR

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Conway Womens Health Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArkansasEnrollment IDO20040630000699Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Conway Womens Health Center PA, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Amy Johnson, M.D.
Obstetrics/Gynecology
NPI 1730184581
2519 COLLEGE AVE
Conway, AR 72034
(501) 450-3920
✔ PECOS✔ Accepts MedicareSame address
Debra Lawrence, M.D.
Obstetrics/Gynecology
NPI 1184629388
2519 COLLEGE AVE
Conway, AR 72034
(501) 450-3920
✔ PECOS✔ Accepts MedicareSame address
Brandie Martin, M.D.
Obstetrics/Gynecology
NPI 1154524031
2519 COLLEGE AVE
Conway, AR 72034
(501) 450-3920
✔ PECOS✔ Accepts MedicareSame address
Theresa Moix, A.P.N.
Nurse Practitioner
NPI 1922201839
2519 COLLEGE AVE
Conway, AR 72034
(501) 450-3920
✔ PECOSSame address
Joshua Ward, M.D.
Obstetrics/Gynecology
NPI 1912118944
2519 COLLEGE AVE
Conway, AR 72034
(501) 450-3920
✔ PECOS✔ Accepts MedicareSame address
Amber Harrell, APN
Nurse Practitioner
NPI 1063710713
2519 COLLEGE AVE
Conway, AR 72034
(501) 450-3920
✔ PECOS✔ Accepts MedicareSame address
Heather White, A.P.N.
Nurse Practitioner
NPI 1093918997
2519 COLLEGE AVE
Conway, AR 72034
(501) 450-3920
✔ PECOS✔ Accepts MedicareSame address

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 Womens Health Center PA's NPI number?

The NPI number for Conway Womens Health Center PA is 1770510042. It was assigned to this organization in the NPPES registry on June 26, 2006.

Where is Conway Womens Health Center PA located?

Conway Womens Health Center PA is located at 2519 College Ave, Conway, AR 72034. The listed phone number is (501) 450-3920.

What is Conway Womens Health Center PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Conway Womens Health Center PA enrolled in Medicare?

Yes. Conway Womens Health Center PA is registered in the Medicare PECOS enrollment system.

When is Conway Womens Health Center PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Conway Womens Health Center PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Conway Womens Health Center PA. 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 Obstetrics/Gynecology (4) and Nurse Practitioner (3). Of these, 7 practice at this address. 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 Womens Health Center PA was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.