1. Home
  2. Directory
  3. Arkansas
  4. Malvern
  5. Family Medicine
  6. NPI Profile

HIGGINBOTHAM FAMILY CLINIC
NPI 1033129713
Family Medicine in Malvern, AR

Active since August 08, 2006CLIA 04D2027363 · Waiver
1002 SCHNEIDER DR, SUITE 104, MALVERN, AR 72104(501) 332-7981(501) 337-9964 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Higginbotham Family Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HIGGINBOTHAM FAMILY CLINIC (NPI 1033129713) is a healthcare organization registered as a family medicine in Malvern, Arkansas and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists Kim Overton, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1033129713
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHANE HIGGINBOTHAM MD PA
Location Address1002 SCHNEIDER DR, SUITE 104Malvern, AR 72104-4816
Mailing Address1002 Schneider Dr, Suite 104Malvern, AR 72104-4816 · (501) 332-7981 · Fax (501) 337-9964
Phone(501) 332-7981
Fax(501) 337-9964
Organization SubpartNo
Authorized OfficialKim OvertonOffice Manager · (501) 337-9994
Enumeration DateAugust 8, 2006
Last NPPES UpdateMay 6, 2021
NPPES CertifiedMay 6, 2021
✔ NPI 1033129713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · E0968
Definition
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.
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA251 (AR)
1002 SCHNEIDER DR, Malvern, AR 72104
Open in Google Maps ↗

Other Names 1

Doing Business AsHigginbotham Family Clinic

Other Identifiers 1

Medicaid205795002AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 Waiver 04D2027363

Higginbotham Family Clinic · Rockport, AR
Active · expires Jul 21, 2027
CLIA Number04D2027363
Laboratory TypePhysician Office
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorDr. Michael D. Higginbotham
Laboratory Phone(501) 337-9994
Laboratory LocationHigginbotham Family Clinic1580 Tanner Street, Rockport, AR 72104
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRESIDENTIAL EMERGENCY PHYSICIANS, LLC
Emergency Medicine
1002 SCHNEIDER DR
MALVERN, AR 72104
Hot Spring County (469) 401-2386
HOT SPRING COUNTY MEDICAL SERVICES
Surgery
1002 SCHNEIDER DR, SUITE 102
MALVERN, AR 72104
Hot Spring County (501) 332-1012
DR. ALTIMUS RAY BOLLEN M.D.
Internal Medicine
1002 SCHNEIDER DR, SUITE 104
MALVERN, AR 72104
Hot Spring County (501) 337-9066
MR. EDWARD T COSTELLO P.A.
Physician Assistant
1002 SCHNEIDER DR, SUITE 104
MALVERN, AR 72104
Hot Spring County (501) 332-7981
HEATHER GRIGSBY APRN
Nurse Practitioner (Family)
1002 SCHNEIDER DR
MALVERN, AR 72104
Hot Spring County (501) 337-9044
DR. BRUCE ALLEN WHITE M.D.
Family Medicine
1002 SCHNEIDER DR, SUITE 104
MALVERN, AR 72104
Hot Spring County (501) 337-9066

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 Shane Higginbotham MD PA's NPI number?

The NPI number for Shane Higginbotham MD PA is 1033129713. It was assigned to this organization in the NPPES registry on August 8, 2006. The provider is doing business as Higginbotham Family Clinic.

Where is Shane Higginbotham MD PA located?

Shane Higginbotham MD PA is located at 1002 Schneider Dr Suite 104, Malvern, AR 72104. The listed phone number is (501) 332-7981.

What is Shane Higginbotham MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Shane Higginbotham MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2027363) is associated with this NPI, valid through July 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shane Higginbotham MD PA accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Shane Higginbotham MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shane Higginbotham MD PA was last updated on May 6, 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.