College Park Family Clinic PA
NPI 1861478232ActiveOrganization· Emergency Medicine· Conway, AR
Emergency Medicine in Conway, Arkansas, registered in NPPES in December 2005. The authorized official on file is Gil E. Johnson, MD, Ceo President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1861478232 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 19, 2005 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | C6340 | AR |
| Family Medicine | 207Q00000X | C6340 | AR |
| Pediatrics | 208000000X | C6340 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR) |
|---|
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