Active NPI
Expedition Health and Pediatrics, PLLC
- Pediatrics Physician
- Conway, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- EXPEDITION HEALTH AND PEDIATRICS, PLLC
- Practice address
- 821 Hogan LN Ste 500
Conway, AR 72034-7970 - Phone
- (501) 764-4443
- Fax
- (501) 764-4454
- NPI assigned
- May 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ryan Southard, MD
- Title
- Owner/Physician
- Phone
- (501) 764-4443
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
821 Hogan LN Ste 500
Conway, AR 72034-7970
Mailing address
821 Hogan LN Ste 500
Conway, AR 72034-7970
Phone (501) 764-4443
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2324857 | Expedition Health and Pediatrics PLLC | Certificate of waiver | Jun 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
821 Hogan Ln
Ste 500
Conway, AR 72034
Phone (501) 548-0226
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754611200000",
"number": "1942193917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 HOGAN LN STE 500",
"city": "CONWAY",
"state": "AR",
"postal_code": "720347970",
"telephone_number": "501-764-4443",
"fax_number": "501-764-4454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 HOGAN LN STE 500",
"city": "CONWAY",
"state": "AR",
"postal_code": "720347970",
"telephone_number": "501-764-4443",
"fax_number": "501-764-4454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXPEDITION HEALTH AND PEDIATRICS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-30",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A",
"authorized_official_last_name": "SOUTHARD",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "501-764-4443",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.