BANISTER-LIEBLONG CLINIC
NPI 1861455057
Clinic/Center - Rural Health in Conway, AR
About Banister-lieblong Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BANISTER-LIEBLONG CLINIC (NPI 1861455057) is a healthcare organization registered as a rural health in Conway, Arkansas and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through March 28, 2028 and lists Lander A Smith, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 3
Group Practice 1
Accepted 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)
Banister-lieblong Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Banister-Lieblong Clinic, which bills Medicare for the services they deliver. Of these, 8 practice at this address. They are listed nearest first.
Clinicians, nearest first (9)
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 04D0466251
Banister-Lieblong Clinic · Conway, ARFrequently 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 Bowlin-Cummins PA's NPI number?
The NPI number for Bowlin-Cummins PA is 1861455057. It was assigned to this organization in the NPPES registry on April 10, 2006. The provider is doing business as Banister-Lieblong Clinic.
Where is Bowlin-Cummins PA located?
Bowlin-Cummins PA is located at 2425 Dave Ward Dr Ste 401, Conway, AR 72034. The listed phone number is (501) 329-3824.
What is Bowlin-Cummins PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Bowlin-Cummins PA enrolled in Medicare?
Yes. Bowlin-Cummins PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bowlin-Cummins PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Bowlin-Cummins 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 Family Practice (8) and Nurse Practitioner (1). Of these, 8 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bowlin-Cummins PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D0466251) is associated with this NPI, valid through March 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Bowlin-Cummins PA 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 Bowlin-Cummins 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 Bowlin-Cummins PA was last updated on January 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Banister-Lieblong Clinic · NPI 1861455057
Rural Health organization in Conway, Arkansas. Organization record, active in the CMS NPPES registry since April 10, 2006.
## Identity
- **NPI:** 1861455057 (Entity type: Organization)
- **Enumerated:** April 10, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Bowlin-Cummins Pa
- **Organization subpart:** No
- **Authorized official:** Lander Smith, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 2425 DAVE WARD DR, STE 401, Conway, AR 72034
- **Phone:** (501) 329-3824 · **Fax:** (501) 327-2957
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (8), Nurse Practitioner (1); 8 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 6, 2015
- **Other identifiers:** Medicaid 156305729 (AR); Other 5B578 (AR); Medicare OSCAR/certification 043853 (AR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1861455057) · Data from the CMS NPPES public registry.