CONWAY PSYCHIATRIC CLINIC, PLLC
NPI 1972808145
Psychiatry & Neurology - Psychiatry in Conway, AR
About Conway Psychiatric Clinic, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONWAY PSYCHIATRIC CLINIC, PLLC (NPI 1972808145) is a healthcare organization registered as a psychiatry in Conway, Arkansas and active in the NPI registry since January 2011. The organization lists Raymond Harlech Clark, Doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
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 Psychiatric Clinic, Pllc 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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Conway Psychiatric Clinic, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Psychiatric Clinic, PLLC's NPI number?
The NPI number for Conway Psychiatric Clinic, PLLC is 1972808145. It was assigned to this organization in the NPPES registry on January 20, 2011.
Where is Conway Psychiatric Clinic, PLLC located?
Conway Psychiatric Clinic, PLLC is located at 5330 Plantation Cv, Conway, AR 72034. The listed phone number is (501) 472-7697.
What is Conway Psychiatric Clinic, PLLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Conway Psychiatric Clinic, PLLC enrolled in Medicare?
Yes. Conway Psychiatric Clinic, PLLC is registered in the Medicare PECOS enrollment system.
When is Conway Psychiatric Clinic, PLLC'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 Psychiatric Clinic, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Conway Psychiatric Clinic, PLLC. 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.
When was this NPI record last updated?
The NPPES record for Conway Psychiatric Clinic, PLLC was last updated on January 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Conway Psychiatric Clinic, Pllc · NPI 1972808145
Psychiatry organization in Conway, Arkansas. Organization record, active in the CMS NPPES registry since January 20, 2011.
## Identity
- **NPI:** 1972808145 (Entity type: Organization)
- **Enumerated:** January 20, 2011
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Raymond Clark, DOCTOR
## Practice location
- **Address:** 5330 PLANTATION CV, Conway, AR 72034-8586
- **Phone:** (501) 472-7697
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Psychiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 20, 2011
- **Other identifiers:** Medicaid 129952001 (AR); Medicare UPIN F83916 (AR); Medicare PIN 5K251 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1972808145) · Data from the CMS NPPES public registry.