Individual provider Active NPI

Leanne Stegall Griffin, R.D., P.A.-C

  • Physician Assistant
  • Conway, AR
National Provider Identifier
1265635981
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-450 Issued in AR
Practice address
1014 Harkrider St Ste B
Conway, AR 72032-4471
Phone
(501) 944-4019
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-450 AR Primary

Addresses

Primary practice location

1014 Harkrider St Ste B
Conway, AR 72032-4471

Mailing address

1014 Harkrider St Ste B
Conway, AR 72032-4471
Phone (501) 944-4019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140115001302 AR Practitioner - Physician Assistant 3375771579 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

605 United Dr
Conway, AR 72032-7826

625 United Dr
Suite 120a
Conway, AR 72032-7810
Phone (501) 358-6720

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group CurrentSince Apr 3, 2017 Accepting new patients
J.P. Wornock M.D. P.a. CurrentSince Aug 10, 2013 Accepting new patients
Arkansas Health Group CurrentSince Apr 3, 2017 Accepting new patients
Arkansas Health Group Past Accepting new patients

Locations

605 United Dr
Conway, AR 72032
Phone (501) 358-6720

625 United Dr
Ste 120A
Conway, AR 72032
Phone (501) 358-6720

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

400 S Main St
Ste 100
Searcy, AR 72143
Phone (501) 279-9000

Interoperability endpoints

  • Direct secure messaging: lgriffin188490@direct.baptist-healthar.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1265635981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 HARKRIDER ST STE B",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324471",
            "telephone_number": "501-944-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 HARKRIDER ST STE B",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324471",
            "telephone_number": "501-944-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "LEANNE",
        "middle_name": "STEGALL",
        "name_prefix": "Mrs.",
        "credential": "R.D., P.A.-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.