MR. RAYMOND FORREST JR. GALLOWAY (A.P.R.N.) – Family Nurse Practitioner, NPI 1093173643

MR. RAYMOND FORREST JR. GALLOWAY (A.P.R.N.) is a healthcare provider. based in Little rock, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials A.P.R.N.. They hold a License No. A004607 (AR). The NPI Number for MR. RAYMOND FORREST JR. GALLOWAY (A.P.R.N.) is 1093173643

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
MR. RAYMOND FORREST JR. GALLOWAY (A.P.R.N.)
NPI
1093173643
Phone
(501) 224-4001
Address
9101 KANIS RD
Enumeration Date
10 February 2016
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5012244001
Graduation Year
2015 (11 years ago)
PAC ID
5799052379
Group Practice PAC ID
8224314216
Professional Enrollment ID
I20170602000743
Address ID
AR722056450LI9101XRDXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

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Provider Addresses for MR. RAYMOND FORREST JR. GALLOWAY (A.P.R.N.)

  • 9101, Kanis Road, Kanis Village, Little Rock, Pulaski County, Arkansas, 72205, United States

    SUITE 400

    LITTLE ROCK, AR 72205

    Phone: (501) 224-4001

    Fax: (504) 224-4003

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $667.

Total Amount is formed as General ($667) + Research ($0) + Ownership ($0) = $667.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Saluda Medical Americas, Inc. ($243).

Total Amount

$667

General + Research + Ownership

Payments

26

Total payment records

General Amount

$667

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-06-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170602000743INurse PractitionerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes258169$0
99213Established patient office or other outpatient visit, 20-29 minutes4645$0
80307Testing for presence of drug, by chemistry analyzers3231$0
G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms1616$0
View full utilization report →

Insurance plans in this area (ZIP 72205)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224314216View full group profile
NameSpecialtyState
Nurse PractitionerAR
Nurse PractitionerAR
Pain Management, AnesthesiologyAR

Reviews

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Frequently asked questions

How do I look up MR. RAYMOND FORREST JR. GALLOWAY (A.P.R.N.) by NPI?
Use NPI 1093173643 when you need to reference MR. RAYMOND FORREST JR. GALLOWAY (A.P.R.N.) in forms, claims, or directories.
Is MR. RAYMOND FORREST JR. GALLOWAY (A.P.R.N.)'s NPI currently valid?
The extract we use shows MR. RAYMOND FORREST JR. GALLOWAY (A.P.R.N.) as active.
What field does MR. RAYMOND FORREST JR. GALLOWAY (A.P.R.N.) work in?
You can think of MR. RAYMOND FORREST JR. GALLOWAY (A.P.R.N.) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MR. RAYMOND FORREST JR. GALLOWAY (A.P.R.N.) practice in Arkansas?
You will see Little Rock, Arkansas on file for MR. RAYMOND FORREST JR. GALLOWAY (A.P.R.N.) alongside any extra practice locations.
How can I contact MR. RAYMOND FORREST JR. GALLOWAY (A.P.R.N.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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