NPIMap

Individual provider Active NPI

Gina Lenore McNew, M.D.

  • Internal Medicine Physician
  • Vilonia, AR
National Provider Identifier
1306060561
Registry record updated Dec 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E-5175 Issued in AR
Practice address
1122 Main Street
Suite 7
Vilonia, AR 72173-8902
Phone
(501) 796-2791
Fax
(501) 796-0148
NPI assigned
Apr 12, 2007
Last updated
Dec 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E-5175 AR Primary

Addresses

Primary practice location

1122 Main Street
Suite 7
Vilonia, AR 72173-8902

Mailing address

1122 Main Street
Suite 7
Vilonia, AR 72173-8902
Phone (501) 796-2791

Other identifiers 1

IdentifierTypeStateIssuer
164728001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070724000737 AR Practitioner - Internal Medicine 1456452192 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Arkansas College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conway Regional Medical Center IncGroup PAC ID 3173428414, shared by 26 NPIs, 129 clinicians

Practice addresses (Care Compare)

437 Denison St
Suite 2
Conway, AR 72034-6127
Phone (501) 504-2330

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-5175ARMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Regional Medical Center Inc Internal Medicine CurrentSince Mar 17, 2015 Accepting new patients
Conway Regional Medical Center, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Conway Regional Medical Center, Inc CurrentSince May 1, 2024 Accepting new patients
Conway Regional Medical Center Inc Current Accepting new patients
St Bernards Clinics, Inc Internal Medicine Past Accepting new patients
Conway Regional Medical Center Inc Past Accepting new patients
Conway Regional Medical Center, Inc Past Accepting new patients

Locations

1700 Altus St
Ste 110
Conway, AR 72032
Phone (501) 852-1366

2302 College Ave
Conway, AR 72034
Phone (501) 329-3831

437 Denison St
Ste 2
Conway, AR 72034
Phone (501) 504-2330

525 Western Ave
Ste 203
Conway, AR 72034
Phone (501) 327-4828

1122 Main St
Ste 7
Vilonia, AR 72173
Phone (501) 796-2791

1159 Main St
Vilonia, AR 72173
Phone (501) 796-2791

Organizations & group practices 7

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

Hospital & facility affiliations 9

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419552000000",
    "number": "1306060561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 MAIN STREET",
            "address_2": "SUITE 7",
            "city": "VILONIA",
            "state": "AR",
            "postal_code": "721738902",
            "telephone_number": "501-796-2791",
            "fax_number": "501-377-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 MAIN STREET",
            "address_2": "SUITE 7",
            "city": "VILONIA",
            "state": "AR",
            "postal_code": "721738902",
            "telephone_number": "501-796-2791",
            "fax_number": "501-796-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEW",
        "first_name": "GINA",
        "middle_name": "LENORE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2014-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-5175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164728001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vilonia, AR

Sources for this page

Verify at the official NPI Registry.