Organization Active NPI

Expedition Health and Pediatrics, PLLC

  • Pediatrics Physician
  • Conway, AR
National Provider Identifier
1942193917
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
Ryan Southard, MDNPI 1093178915
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2324857Expedition Health and Pediatrics PLLC821 Hogan LN Suite 500, Conway, AR 72034Certificate of waiverJun 2, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.