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

HIGGINBOTHAM FAMILY CLINIC
NPI 1104106426
Family Medicine in Rockport, AR

Active since August 17, 2011
1580 TANNER ST, ROCKPORT, AR 72104(501) 337-9994(501) 337-9964 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Higginbotham Family Clinic NPPES

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

HIGGINBOTHAM FAMILY CLINIC (NPI 1104106426) is a healthcare organization registered as a family medicine in Rockport, Arkansas and active in the NPI registry since August 2011. The organization lists Kim Overton, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1104106426
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHANE HIGGINBOTHAM MD PA
Location Address1580 TANNER STRockport, AR 72104-2023
Mailing Address1580 Tanner StRockport, AR 72104-2023 · (501) 337-9994 · Fax (501) 337-9964
Phone(501) 337-9994
Fax(501) 337-9964
Organization SubpartNo
Authorized OfficialKim OvertonOffice Manager · (501) 337-9994
Enumeration DateAugust 17, 2011
Last NPPES UpdateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
✔ NPI 1104106426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1580 TANNER ST, Rockport, 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

Other Providers at the Same Location NPPES 5

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

KERRY RENEE HILL
Nurse Practitioner (Family)
1580 TANNER ST
ROCKPORT, AR 72104
Hot Spring County (501) 337-9994
COVENANT HEALTH LLC
Clinic/Center (Urgent Care)
1580 TANNER ST
ROCKPORT, AR 72104
Hot Spring County (501) 229-2920
DR. MICHAEL S HIGGINBOTHAM MD
Family Medicine
1580 TANNER ST
ROCKPORT, AR 72104
Hot Spring County (501) 332-7981
MARY KATHERINE CALLISON APRN
Nurse Practitioner (Family)
1580 TANNER ST
ROCKPORT, AR 72104
Hot Spring County (501) 337-9994
LYSSA MORRISON CNP
Nurse Practitioner (Family)
1580 TANNER ST
ROCKPORT, AR 72104
Hot Spring County (501) 337-9994

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 1104106426. It was assigned to this organization in the NPPES registry on August 17, 2011. The provider is doing business as Higginbotham Family Clinic.

Where is Shane Higginbotham MD PA located?

Shane Higginbotham MD PA is located at 1580 Tanner St, Rockport, AR 72104. The listed phone number is (501) 337-9994.

What is Shane Higginbotham MD PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Shane Higginbotham MD PA was last updated on August 2, 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.