UCA STUDENT HEALTH CLINIC
NPI 1912543240
Family Medicine in Conway, AR

Active since November 21, 2019
201 DONAGHEY AVE, CONWAY, AR 72035(501) 450-3136(501) 450-3370 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 21, 2023, Jun 28, 2021, May 28, 2021 and 3 more (6 updates tracked since 2019).

About Uca Student Health Clinic NPPES

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

UCA STUDENT HEALTH CLINIC (NPI 1912543240) is a healthcare organization registered as a family medicine in Conway, Arkansas and active in the NPI registry since November 2019. The organization lists Chad Lairamore, Associate Dean, as its authorized official.

NPPES Registry Identity

NPI1912543240
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameUNIVERSITY OF CENTRAL ARKANSAS
Location Address201 DONAGHEY AVEConway, AR 72035-5001
Mailing Address201 Donaghey Ave Uca Student Health CenterConway, AR 72035-5001 · (501) 450-3136 · Fax (501) 450-3370
Fax(501) 450-3370
Organization SubpartNo
Authorized OfficialChad LairamoreAssociate Dean · (501) 450-3136
Enumeration DateNovember 21, 2019
Last NPPES UpdateMarch 21, 20236 updates tracked since enumeration
NPPES CertifiedMarch 21, 2023
✔ NPI 1912543240 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.
201 DONAGHEY AVE, Conway, AR 72035

Other Names 1

Other NameUca Student Health Clinic

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)

Uca Student Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Uca Student Health Clinic, which bills Medicare for the services they deliver. Of these, 11 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 7

Mental Health Counselor2
Nurse Practitioner2
Occupational Therapist in Private Practice2
Physical Therapist in Private Practice2
Qualified Speech Language Pathologist2
Registered Dietitian or Nutrition Professional2
Clinical Psychologist1

Clinicians, nearest first (13)

Qualified Speech Language Pathologist
NPI 1164545661
2200 BRUCE ST. STE 101
Conway, AR 72034
(501) 470-7457
0.3 mi
Occupational Therapist in Private Practice
NPI 1942433149
2200 BRUCE ST STE 101
Conway, AR 72034
(501) 470-7457
✔ Accepts Medicare0.3 mi
Physical Therapist in Private Practice
NPI 1417193327
2200 BRUCE ST STE 101
Conway, AR 72034
(501) 470-7457
✔ Accepts Medicare0.3 mi
Registered Dietitian or Nutrition Professional
NPI 1801054747
2200 BRUCE ST. STE 101
Conway, AR 72034
(501) 470-7457
✔ Accepts Medicare0.3 mi
Registered Dietitian or Nutrition Professional
NPI 1720936883
2200 BRUCE ST
Conway, AR 72034
(501) 470-7457
0.3 mi
Clinical Psychologist
NPI 1871457317
2200 BRUCE ST
Conway, AR 72034
(501) 470-7457
✔ PECOS0.3 mi
Physical Therapist in Private Practice
NPI 1659823219
823 PARKWAY ST
Conway, AR 72034
(501) 295-3545
✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1992125595
3025 FOUNTAIN DR SUITE 100
Conway, AR 72034
(501) 932-5060
✔ PECOS✔ Accepts Medicare1.2 mi
Mental Health Counselor
NPI 1710123377
930 WINGATE ST STE E2
Conway, AR 72034
(501) 642-0752
✔ PECOS✔ Accepts Medicare1.2 mi
Qualified Speech Language Pathologist
NPI 1427168558
1500 MUSEUM RD STE 104
Conway, AR 72032
(501) 329-3804
2.6 mi
Mental Health Counselor
NPI 1437521127
2215 E OAK ST STE 1
Conway, AR 72032
(501) 336-0511
✔ PECOS✔ Accepts Medicare3.5 mi
Nurse Practitioner
NPI 1497998041
4301 W MARKHAM ST # 783
Little Rock, AR 72205
(501) 686-8000
✔ PECOS24 mi
Occupational Therapist in Private Practice
NPI 1922339910
250 LORENE ST
Austin, AR 72007
(501) 519-6486
29 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 University Of Central Arkansas's NPI number?

The NPI number for University Of Central Arkansas is 1912543240. It was assigned to this organization in the NPPES registry on November 21, 2019. The provider is also known as Uca Student Health Clinic.

Where is University Of Central Arkansas located?

University Of Central Arkansas is located at 201 Donaghey Ave, Conway, AR 72035. The listed phone number is (501) 450-3136.

What is University Of Central Arkansas's specialty?

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

Is University Of Central Arkansas enrolled in Medicare?

Yes. University Of Central Arkansas is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through University Of Central Arkansas?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians reassign their Medicare billing to University Of Central Arkansas, in Clinical Psychologist, Mental Health Counselor, Nurse Practitioner, Occupational Therapist in Private Practice, Physical Therapist in Private Practice and 2 other specialties. 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. Of these, 11 practice 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 University Of Central Arkansas was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.