Individual provider Active NPI

Terry Todd Milam, CRNA

  • Certified Registered Nurse Anesthetist
  • Conway, AR
National Provider Identifier
1619964012
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C01353 Issued in AR
Practice address
525 Western Ave
Suite 201
Conway, AR 72034-4967
Phone
(501) 327-6665
Fax
(501) 730-0289
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP123726 TX
Certified Registered Nurse Anesthetist 367500000X C01353 AR Primary

Addresses

Primary practice location

525 Western Ave
Suite 201
Conway, AR 72034-4967

Mailing address

525 Western Ave
Suite 201
Conway, AR 72034-4967
Phone (501) 327-6665

Other practice location 1

4301 W Markham St # 772
Little Rock, AR 72205-7101
Phone (501) 603-1234

Other practice location 2

801 Cottage Dr
Little Rock, AR 72205-5400
Phone (501) 686-8818

Other identifiers 1

IdentifierTypeStateIssuer
146260701MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110414000363 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688858772 Reassigns benefits to 13 organizations
I20140425000222 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688858772 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical GroupGroup PAC ID 5698758803, 237 clinicians
Renew Medical Group of Arkansas LTDGroup PAC ID 3173056298, 129 clinicians

Practice addresses (Care Compare)

2 Saint Vincent Cir
Little Rock, AR 72205-5423
Phone (501) 552-4666

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-6000

Hospital & facility affiliations

  • Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062
  • CHI-St Vincent Infirmary Hospital, Little Rock, AR, CCN 040007
  • Baptist Health - Fort Smith Hospital, Fort Smith, AR, CCN 040055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C01353ARMDCertified Registered Nurse Anesthetist
AP123726TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Surgical Hospital, LLC Current Accepting new patients
El Paso Ams, PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2024 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Apr 1, 2024 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Apr 1, 2024 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Apr 1, 2024 Accepting new patients
Texas Ams PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 23, 2019 Accepting new patients
Hospitalist Medicine Physicians of Texas - Dallas PLLC CurrentSince Aug 26, 2024 Accepting new patients
Arkansas Surgical Hospital, LLC CurrentSince Sep 10, 2022 Accepting new patients
St. Vincent Medical Group CurrentSince Jan 1, 2024 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
Gastro Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2024 Accepting new patients
Billins Anesthesia Inc CurrentSince Nov 7, 2022 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
Renew Medical Group of Arkansas LTD Nurse Anesthetist, Certified Registered CurrentSince Nov 15, 2024 Accepting new patients
Southern Regional Anesthesiology Consultants PLLC CurrentSince Nov 14, 2022 Accepting new patients
Arkansas Surgical Hospital, LLC CurrentSince Sep 10, 2022 Accepting new patients
Dream Team Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 15, 2024 Accepting new patients
Conway Anesthesiology Consultants, P.a. CurrentSince Oct 21, 2002 Accepting new patients
Gastroenterology Associates PA CurrentSince Mar 17, 2025 Accepting new patients
Conway Regional Medical Center Inc Past Accepting new patients
Jonesboro Anesthesia Inc Past Accepting new patients

Locations (25 of 28)

455 Hogan Ln
Conway, AR 72034
Phone (501) 513-0799

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

525 Western Ave
Ste 201
Conway, AR 72034
Phone (501) 327-1727

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

1 Childrens Way
Ste 653
Little Rock, AR 72202

1811 Rahling Rd
Ste 120
Little Rock, AR 72223
Phone (501) 214-2360

16221 Saint Vincent Way
Little Rock, AR 72223
Phone (501) 221-0888

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#772
Little Rock, AR 72205
Phone (501) 628-8861

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

405 N University Ave
Ste B
Little Rock, AR 72205
Phone (501) 228-4445

9 Freeway Dr
#A
Little Rock, AR 72204
Phone (501) 255-0410

801 Cottage Dr
Little Rock, AR 72205
Phone (501) 686-8674

4200 N Rodney Parham Rd
Ste 203
Little Rock, AR 72212
Phone (501) 228-4445

1300 Centerview Dr
Little Rock, AR 72211
Phone (501) 410-1196

11700 Cantrell Rd
Little Rock, AR 72223
Phone (501) 664-6980

10001 Lile Dr
Little Rock, AR 72205
Phone (501) 227-8000

405 N University Ave
Little Rock, AR 72205
Phone (501) 228-4445

500 S University Ave
Ste 500
Little Rock, AR 72205
Phone (501) 320-1101

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

4 Hospital Dr
Morrilton, AR 72110
Phone (501) 977-2300

5201 Northshore Dr
Ste 300
North Little Rock, AR 72118
Phone (501) 748-8000

5201 Northshore Dr
North Little Rock, AR 72118
Phone (501) 748-8000

1815 N Stanton St
El Paso, TX 79902
Phone (915) 533-8412

Organizations & group practices 22

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.

View all 22

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1619964012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 WESTERN AVE",
            "address_2": "SUITE 201",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344967",
            "telephone_number": "501-327-6665",
            "fax_number": "501-730-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WESTERN AVE",
            "address_2": "SUITE 201",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344967",
            "telephone_number": "501-327-6665",
            "fax_number": "501-730-0289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St # 772",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-603-1234",
            "fax_number": "501-603-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Cottage Dr",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722055400",
            "country_code": "US",
            "telephone_number": "501-686-8818",
            "fax_number": "501-526-7217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILAM",
        "first_name": "TERRY",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP123726",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C01353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146260701",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.