Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prestige Spine Interventional Pain Management, LLC

Organization Interventional Pain Medicine Physician · NPI 1265044119

Prestige Spine Interventional Pain Management, LLC is an Interventional Pain Medicine Physician in Conway, Arkansas. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

650 United Dr Ste 340
Conway, AR 72032-7826
Phone: (501) 358-6791
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X
Pain Clinic/Center Taxonomy 261QP3300X

Record details

NPI number1265044119
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official April Johnson — Member · (501) 993-8300
NPI enumeratedAugust 21, 2020
Last updated in NPPESAugust 23, 2022
Certification dateAugust 23, 2022
Mailing address650 United Dr Ste 340, Conway, AR 72032-7826

Other providers in Conway