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College Park Family Clinic PA

Emergency Medicine Physician in Conway, AR · enumerated 2005 · authorized official Gil Johnson, Ceo President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1861478232

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Registry record

Entity type Organization (Type 2)
Legal business name College Park Family Clinic PA
Practice address 2511-A College Ave, Conway, AR, 72034
Phone (501) 327-6041
Fax (501) 327-6043
Enumeration date Dec 19, 2005
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License C6340 (AR) Primary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License C6340 (AR) Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License C6340 (AR) Secondary

Authorized official

Name Gil Johnson
Title Ceo President
Phone (501) 327-6041

Other identifiers

Identifier Type State Issuer
11451000000 Other AR QC

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is College Park Family Clinic PA?
College Park Family Clinic PA is registered in NPPES as a Emergency Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.