COLLOM & CARNEY CLINIC ASSOCIATION
NPI 1013252279
Internal Medicine - Cardiovascular Disease in Texarkana, TX
About Collom & Carney Clinic Association NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLLOM & CARNEY CLINIC ASSOCIATION (NPI 1013252279) is a healthcare organization registered as a cardiovascular disease in Texarkana, Texas and active in the NPI registry since November 2012. The organization holds an CLIA Accreditation certificate valid through November 6, 2027 and lists Mary E Dwight, Chief Operating Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Collom & Carney Clinic Association is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
40Medicare enrollment records show 40 clinicians reassign Medicare billing to Collom & Carney Clinic Association, which bills Medicare for the services they deliver. Of these, 22 practice at this address and 36 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 40Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 45D0659663
Collom & Carney Clinic Laboratory · Texarkana, TXFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Collom & Carney Clinic Association's NPI number?
The NPI number for Collom & Carney Clinic Association is 1013252279. It was assigned to this organization in the NPPES registry on November 29, 2012.
Where is Collom & Carney Clinic Association located?
Collom & Carney Clinic Association is located at 5002 Cowhorn Creek Rd, Texarkana, TX 75503. The listed phone number is (903) 614-3000.
What is Collom & Carney Clinic Association's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Collom & Carney Clinic Association enrolled in Medicare?
Yes. Collom & Carney Clinic Association is registered in the Medicare PECOS enrollment system.
When is Collom & Carney Clinic Association's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Collom & Carney Clinic Association?
According to the CMS Revalidation Reassignment List (October 2026 release), 40 clinicians in 9 Medicare specialties reassign their Medicare billing to Collom & Carney Clinic Association. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (14), Family Practice (9) and Pediatric Medicine (5). Of these, 22 practice at this address and 36 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Collom & Carney Clinic Association hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 45D0659663) is associated with this NPI, valid through November 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Collom & Carney Clinic Association was last updated on February 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Collom & Carney Clinic Association · NPI 1013252279
Cardiovascular Disease organization in Texarkana, Texas. Organization record, active in the CMS NPPES registry since November 29, 2012.
## Identity
- **NPI:** 1013252279 (Entity type: Organization)
- **Enumerated:** November 29, 2012
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Mary Dwight, CHIEF OPERATING OFFICER
## Practice location
- **Address:** 5002 COWHORN CREEK RD, Texarkana, TX 75503-9766
- **Phone:** (903) 614-3000 · **Fax:** (903) 614-3525
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 40 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (14), Family Practice (9), Pediatric Medicine (5); 22 practice at this address and 36 within 10 miles; [full list](https://npiprofile.com/npi/1013252279/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 24, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013252279) · Data from the CMS NPPES public registry.