B A SCROGGINS, INC.
NPI 1013686641
Clinic/Center - Primary Care in Conway, AR
About B A Scroggins, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
B A SCROGGINS, INC. (NPI 1013686641), doing business as Scroggins Family Medicine, is a healthcare organization registered as a primary care in Conway, Arkansas and active in the NPI registry since September 2021. The organization lists Brent Ashley Scroggins, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
B A Scroggins, Inc. 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
Medicare enrollment records show 1 clinician reassigns Medicare billing to B A Scroggins, Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently 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 B A Scroggins, Inc.'s NPI number?
The NPI number for B A Scroggins, Inc. is 1013686641. It was assigned to this organization in the NPPES registry on September 8, 2021. The provider is doing business as Scroggins Family Medicine.
Where is B A Scroggins, Inc. located?
B A Scroggins, Inc. is located at 1355 Dave Ward Dr Ste 101, Conway, AR 72034. The listed phone number is (501) 269-5105.
What is B A Scroggins, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is B A Scroggins, Inc. enrolled in Medicare?
Yes. B A Scroggins, Inc. is registered in the Medicare PECOS enrollment system.
When is B A Scroggins, Inc.'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 (Arkansas, 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 B A Scroggins, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to B A Scroggins, Inc.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for B A Scroggins, Inc. was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# B A Scroggins, Inc. · NPI 1013686641
Primary Care organization in Conway, Arkansas. Organization record, active in the CMS NPPES registry since September 8, 2021.
## Identity
- **NPI:** 1013686641 (Entity type: Organization)
- **Enumerated:** September 8, 2021
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Scroggins Family Medicine (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Brent Scroggins, CEO
## Practice location
- **Address:** 1355 DAVE WARD DR STE 101, Conway, AR 72034-7082
- **Phone:** (501) 269-5105
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1013686641) · Data from the CMS NPPES public registry.