CENTRAL ARKANSAS EAR NOSE & THROAT CLINIC
NPI 1093772436
Otolaryngology in Conway, AR
About Central Arkansas Ear Nose & Throat Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTRAL ARKANSAS EAR NOSE & THROAT CLINIC (NPI 1093772436) is a healthcare organization registered as an otolaryngology in Conway, Arkansas and active in the NPI registry since April 2006. The organization lists Collie Blevins Shaw, Owner President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
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)
Central Arkansas Ear Nose & Throat Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Central Arkansas Ear Nose & Throat Clinic, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Central Arkansas Ear Nose & Throat Clinic's NPI number?
The NPI number for Central Arkansas Ear Nose & Throat Clinic is 1093772436. It was assigned to this organization in the NPPES registry on April 28, 2006.
Where is Central Arkansas Ear Nose & Throat Clinic located?
Central Arkansas Ear Nose & Throat Clinic is located at 2200 Ada Ave Ste 202, Conway, AR 72034. The listed phone number is (501) 327-3929.
What is Central Arkansas Ear Nose & Throat Clinic's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Central Arkansas Ear Nose & Throat Clinic enrolled in Medicare?
Yes. Central Arkansas Ear Nose & Throat Clinic is registered in the Medicare PECOS enrollment system.
When is Central Arkansas Ear Nose & Throat Clinic'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 November 30, 2026. 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 Central Arkansas Ear Nose & Throat Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Otolaryngology, reassign their Medicare billing to Central Arkansas Ear Nose & Throat Clinic. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Central Arkansas Ear Nose & Throat Clinic accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Central Arkansas Ear Nose & Throat Clinic 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 Central Arkansas Ear Nose & Throat Clinic was last updated on July 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Central Arkansas Ear Nose & Throat Clinic · NPI 1093772436
Otolaryngology organization in Conway, Arkansas. Organization record, active in the CMS NPPES registry since April 28, 2006.
## Identity
- **NPI:** 1093772436 (Entity type: Organization)
- **Enumerated:** April 28, 2006
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **Organization subpart:** No
- **Authorized official:** Collie Shaw, OWNER PRESIDENT
## Practice location
- **Address:** 2200 ADA AVE, STE 202, Conway, AR 72034
- **Phone:** (501) 327-3929 · **Fax:** (501) 329-3816
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Otolaryngology) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 10, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 5C396 (AR); Medicare UPIN F98367
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Source: [NPI Profile](https://npiprofile.com/npi/1093772436) · Data from the CMS NPPES public registry.