Prestige Spine Interventional Pain Management, LLC
NPI 1265044119 · Interventional Pain Medicine Physician · Conway, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prestige Spine Interventional Pain Management, LLC is a Interventional Pain Medicine Physician organization in Conway, AR (NPI 1265044119).
Provider details
- NPI number
- 1265044119
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- April Johnson, Member(501) 993-8300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Clinic/Center261QP3300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-08-21
- Last updated
- 2022-08-23
- Certified
- 2022-08-23
Frequently asked questions
- What is Prestige Spine Interventional Pain Management, LLC's NPI number?
- Prestige Spine Interventional Pain Management, LLC's National Provider Identifier (NPI) is 1265044119, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prestige Spine Interventional Pain Management, LLC?
- Prestige Spine Interventional Pain Management, LLC is classified in the NPPES registry as Interventional Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Prestige Spine Interventional Pain Management, LLC located?
- Prestige Spine Interventional Pain Management, LLC's practice location on file with NPPES is 650 United Dr Ste 340, Conway, AR 72032-7826.
- What is Prestige Spine Interventional Pain Management, LLC's phone number?
- The practice phone number listed in the NPPES registry for Prestige Spine Interventional Pain Management, LLC is (501) 358-6791.
- Does Prestige Spine Interventional Pain Management, LLC accept Medicare?
- Prestige Spine Interventional Pain Management, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Prestige Spine Interventional Pain Management, LLC?
- The authorized official listed on Prestige Spine Interventional Pain Management, LLC's NPPES record is April Johnson, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prestige Spine Interventional Pain Management, LLC's NPI active?
- Yes — Prestige Spine Interventional Pain Management, LLC's NPI (1265044119) is active in the NPPES registry as of the last update on 2022-08-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.