Garrett Wesley Brown, PA
Individual provider Active NPI Physician Assistant · Conway, AR
NPI 1669125449 · NPPES record last updated May 6, 2026
Key facts
- NPI
- 1669125449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA-1278 (AR)
- Practice address
- 2302 College Ave
Conway, AR 72034-6297 - Phone
- (501) 329-3831
- NPI assigned
- Feb 1, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Faulkner Emergency Group, PLLC
Practice addresses (Care Compare)
2302 College Ave
Conway, AR 72034-6297
Phone (501) 329-3831
Hospital & facility affiliations
- Conway Regional Medical Center, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.97 of 100
- Quality
- 64.58
- Improvement activities
- 40
- Cost
- 77.33
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220422001098 | TN | Practitioner - Physician Assistant | 1456748318 | Reassigns benefits to 1 organization |
| I20260416001449 | AR | Practitioner - Physician Assistant | 1456748318 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4883 | TN | MD | General Practice Dentistry |
| PA-1278 | AR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Regional One Physicians Inc | Physician Assistant | Current |
Accepting new patients |
Locations
6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085
877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-1278 | AR | Yes |
Addresses
Primary practice location
2302 College Ave
Conway, AR 72034-6297
Mailing address
2302 College Ave
Conway, AR 72034-6297
Phone (501) 329-3831
Other providers in Conway, AR
- Albert Ray Brown II
- Ashley Brown
- Bethany P Brown
- Bryan Douglas Brown
- Chase Brown
- Haley Annette Brown
- Karen Elizabeth Brown
- Kimberly Lasha Brown
- Lashonda Brown
- Lorraine Brown
All providers in Conway, AR · Physician Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.