COLLOM & CARNEY CLINIC ASSOCIATION
NPI 1013252279
Internal Medicine - Cardiovascular Disease in Texarkana, TX
NPI Status: Active since November 29, 2012
Contact Information
5002 COWHORN CREEK RD
TEXARKANA, TX
ZIP 75503
Phone: (903) 614-3000
Fax: (903) 614-3525
- Organization
- Internal Medicine
- Cardiovascular Disease
- CLIA Number: 45D0659663
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-06-2027
About COLLOM & CARNEY CLINIC ASSOCIATION
This page provides the complete NPI Profile along with additional information for Collom & Carney Clinic Association, an internist established in Texarkana, Texas operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1013252279 assigned on November 2012. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Collom & Carney Clinic Association operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mary E Dwight Ccs-p, Mha, Cmpe (Chief Operating Officer)
- NPI
- 1013252279
- Provider Name
- COLLOM & CARNEY CLINIC ASSOCIATION
- Entity Type
- Organization
- Location Address
- 5002 COWHORN CREEK RD TEXARKANA, TX 75503
- Location Phone
- (903) 614-3000
- Location Fax
- (903) 614-3525
- Mailing Address
- 5002 COWHORN CREEK RD TEXARKANA, TX 75503
- Mailing Phone
- (903) 614-3000
- Mailing Fax
- (903) 614-3525
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-29-2012
- Last Update Date
- 02-24-2023
- Code Navigator
An internist like Collom & Carney Clinic Association is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D0659663
- Facility Type
- Physician Office
- Certificate Effective Date
- November 07, 2025
- Certificate Expiration Date
- November 06, 2027
- Laboratory Director
- JUSTIN HARDIN
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Collom & Carney Clinic Association on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1013252279, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
TEXARKANA, TX 75503
TEXARKANA, TX 75503
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013252279, enumerated as an "organization" on November 29, 2012.
The provider is located at 5002 COWHORN CREEK RD TEXARKANA, TX 75503 and the phone number is (903) 614-3000.
Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.
