HIGGINBOTHAM FAMILY CLINIC
NPI 1104106426
Family Medicine in Rockport, AR

NPI Status: Active since August 17, 2011

Contact Information

1580 TANNER ST
ROCKPORT, AR
ZIP 72104
Phone: (501) 337-9994
Fax: (501) 337-9964

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  • Organization
  • Family Medicine

About HIGGINBOTHAM FAMILY CLINIC

This page provides the complete NPI Profile along with additional information for Higginbotham Family Clinic, a primary care provider established in Rockport, Arkansas operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1104106426 assigned on August 2011. The practitioner's primary taxonomy code is 207Q00000X with license number E0968 (AR). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Higginbotham Family Clinic. The authorized official of this NPI record is Kim Overton (Office Manager)

NPI
1104106426
Provider Legal Name
SHANE HIGGINBOTHAM MD PA
Other Organization Name
HIGGINBOTHAM FAMILY CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1580 TANNER ST ROCKPORT, AR 72104
Location Phone
(501) 337-9994
Location Fax
(501) 337-9964
Mailing Address
1580 TANNER ST ROCKPORT, AR 72104
Mailing Phone
(501) 337-9994
Mailing Fax
(501) 337-9964
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-17-2011
Last Update Date
08-02-2023
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A primary care provider (PCP) like Higginbotham Family Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
E0968
License State
AR
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIM OVERTON

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(501) 337-9994

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
205795002MEDICAID (05)AR 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104106426
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104201244
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 2 + 0 + 1 + 2 + 4 + 4 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 66

The NPI number 1104106426 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326710468COVENANT HEALTH LLC
Organization
Clinic/Center (Urgent Care)1580 TANNER ST
ROCKPORT, AR 72104
(501) 229-2920
1619992377DR. MICHAEL S HIGGINBOTHAM MD
Individual
Family Medicine1580 TANNER ST
ROCKPORT, AR 72104
(501) 332-7981
1164889002 KERRY RENEE HILL
Individual
Nurse Practitioner (Family)1580 TANNER ST
ROCKPORT, AR 72104
(501) 337-9994
1972269785 LYSSA MORRISON CNP
Individual
Nurse Practitioner (Family)1580 TANNER ST
ROCKPORT, AR 72104
(501) 337-9994

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104106426, enumerated in the NPI registry as an "organization" on August 17, 2011

The provider is located at 1580 Tanner St Rockport, Ar 72104 and the phone number is (501) 337-9994

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 17, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.