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NPISignal

Individual Healthcare Provider

Stafford Austin Conway, MD

NPI Record: ActivePsychiatry & Neurology — Neurology
NPI1366498206
Johnson City, Tennessee

Provider's NPPES record last updated: July 11, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1366498206
Primary Specialty
Psychiatry & Neurology — Neurology
Practice Location
Johnson City, Tennessee
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 9:49 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychiatry & Neurology

    Neurology

    Allopathic & Osteopathic Physicians

    Primary

    A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

    Taxonomy code 2084N0400X
  • Hospitalist

    Allopathic & Osteopathic Physicians

    Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

    Taxonomy code 208M00000X

Provider-Reported License Information

Psychiatry & Neurology (Oregon)
MD213841
Psychiatry & Neurology (Texas)
M7919
Psychiatry & Neurology (Washington)
MD60300234
Psychiatry & Neurology (Ohio)
35C.000332
Psychiatry & Neurology (Tennessee)
55273
Psychiatry & Neurology (Virginia)
0101279662
Hospitalist (Tennessee)
55273
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

410 N State of Franklin Rd

Suite 135

Johnson City, Tennessee 37604-6971

Phone: (423) 431-2350

Additional Practice Location

11215 Metro Pkwy Ste 1

Fort Myers, Florida 33966-1206

Phone: (239) 208-2212

Additional Practice Location

630 Eaton Ave

Hamilton, Ohio 45013-2767

Phone: (513) 867-2000

Fax: (513) 867-2119

Additional Practice Location

1250 E Marshall St

Richmond, Virginia 23298-5023

Phone: (804) 828-9350

Fax: (804) 807-7949

Record Information

Enumeration Date
May 25, 2006
Provider's NPPES Record Last Updated
July 11, 2025
Certification Date
July 11, 2025
NPISignal NPPES Dataset
August 2026

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