Individual provider Active NPI

Melanie W Conway, MD

  • Psychiatry Physician
  • Little Rock, AR
National Provider Identifier
1528051687
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
E-1763 Issued in AR
Practice address
1405 North Pierce
Suite 212
Little Rock, AR 72207
Phone
(501) 664-0091
Fax
(501) 664-0112
NPI assigned
Aug 24, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X E-1763 AR Primary

Addresses

Primary practice location

1405 North Pierce
Suite 212
Little Rock, AR 72207

Mailing address

1405 N Pierce St Ste 307
Little Rock, AR 72207-5377
Phone (501) 773-3329

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070522000100 AR Practitioner - Psychiatry 3779506126 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-1763ARMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Arkansas CurrentSince Aug 6, 2021 Accepting new patients
State of Arkansas CurrentSince Aug 6, 2021 Accepting new patients
Living Hope Southeast, LLC PastSince Mar 1, 2008 Accepting new patients
Senior Resolution Resources, Inc Past Accepting new patients
Smith Counseling Services, Inc. Past Accepting new patients

Locations

305 S Palm St
Little Rock, AR 72205
Phone (501) 686-9000

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/lhsoutheast/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1528051687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 N PIERCE ST STE 307",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722075377",
            "telephone_number": "501-773-3329",
            "fax_number": "331-204-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 NORTH PIERCE",
            "address_2": "SUITE 212",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72207",
            "telephone_number": "501-664-0091",
            "fax_number": "501-664-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "MELANIE",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-1763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.