College Park Family Clinic PA
NPI 1861478232 · Emergency Medicine Physician · Conway, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
College Park Family Clinic PA is a Emergency Medicine Physician organization in Conway, AR (NPI 1861478232).
Provider details
- NPI number
- 1861478232
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gil Johnson, Ceo President(501) 327-6041
- License
- C6340 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2005-12-19
- Last updated
- 2025-09-11
Frequently asked questions
- What is College Park Family Clinic PA's NPI number?
- College Park Family Clinic PA's National Provider Identifier (NPI) is 1861478232, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is College Park Family Clinic PA?
- College Park Family Clinic PA is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is College Park Family Clinic PA located?
- College Park Family Clinic PA's practice location on file with NPPES is 2511-A College Ave, Conway, AR 72034.
- What is College Park Family Clinic PA's phone number?
- The practice phone number listed in the NPPES registry for College Park Family Clinic PA is (501) 327-6041.
- Does College Park Family Clinic PA accept Medicare?
- College Park Family Clinic PA 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 College Park Family Clinic PA?
- The authorized official listed on College Park Family Clinic PA's NPPES record is Gil Johnson, Ceo President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is College Park Family Clinic PA's NPI active?
- Yes — College Park Family Clinic PA's NPI (1861478232) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.