COLLOM & CARNEY CLINIC ASSOCIATION
NPI 1285616805
Family Medicine 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 1285616805), doing business as Collom And Carney Clinic, is a healthcare organization registered as a family medicine in Texarkana, Texas and active in the NPI registry since November 2005. The organization maintains 5 additional practice locations and lists Mary E Dwight, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 5
Other Identifiers 2
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.
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 Collom & Carney Clinic Association's NPI number?
The NPI number for Collom & Carney Clinic Association is 1285616805. It was assigned to this organization in the NPPES registry on November 18, 2005. The provider is doing business as Collom and Carney Clinic.
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 Family Medicine with taxonomy code 207Q00000X.
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.
When was this NPI record last updated?
The NPPES record for Collom & Carney Clinic Association was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 1285616805
Family Medicine organization in Texarkana, Texas. Organization record, active in the CMS NPPES registry since November 18, 2005.
## Identity
- **NPI:** 1285616805 (Entity type: Organization)
- **Enumerated:** November 18, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Collom and Carney Clinic (Doing Business As)
- **Organization subpart:** Yes (part of Collom & Carney Clinic Association)
- **Authorized official:** Mary Dwight, COO
## 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/1285616805/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 23, 2025
- **Other identifiers:** Other CU0435 (TX); Medicaid 082241301 (TX)
---
Source: [NPI Profile](https://npiprofile.com/npi/1285616805) · Data from the CMS NPPES public registry.