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COLLEGE PARK FAMILY CLINIC PA
NPI 1861478232
Emergency Medicine in Conway, AR

Active since December 19, 2005
2511-A COLLEGE AVE, CONWAY, AR 72034(501) 327-6041(501) 327-6043 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About College Park Family Clinic Pa NPPES

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

COLLEGE PARK FAMILY CLINIC PA (NPI 1861478232) is a healthcare organization registered as an emergency medicine in Conway, Arkansas and active in the NPI registry since December 2005. The organization lists Gil E Johnson, Ceo President, as its authorized official.

NPPES Registry Identity

NPI1861478232
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameCOLLEGE PARK FAMILY CLINIC PA
Location Address2511-A COLLEGE AVEConway, AR 72034
Mailing Address2511-a College AveConway, AR 72034 · (501) 327-6041 · Fax (501) 327-6043
Phone(501) 327-6041
Fax(501) 327-6043
Organization SubpartNo
Authorized OfficialGil E JohnsonCeo President · (501) 327-6041
Enumeration DateDecember 19, 2005
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1861478232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in AR · C6340
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License C6340 (AR)
Also ListedPediatricsTaxonomy 208000000X · License C6340 (AR)

Other Identifiers 1

Other11451000000AR · Qc

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)

College Park Family Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to College Park Family Clinic PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gil Johnson, M.D.
Family Practice
NPI 1356563241
2511 A COLLEGE AVE
Conway, AR 72034
(501) 327-6041
✔ PECOS✔ Accepts Medicare

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 College Park Family Clinic PA's NPI number?

The NPI number for College Park Family Clinic PA is 1861478232. It was assigned to this organization in the NPPES registry on December 19, 2005.

Where is College Park Family Clinic PA located?

College Park Family Clinic PA is located at 2511-A College Ave, Conway, AR 72034. The listed phone number is (501) 327-6041.

What is College Park Family Clinic PA's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is College Park Family Clinic PA enrolled in Medicare?

Yes. College Park Family Clinic PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through College Park Family Clinic PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to College Park Family Clinic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does College Park Family Clinic 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 College Park Family Clinic 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 College Park Family Clinic PA was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.