MIDSOUTH HOMECARE PLLC
NPI 1295325611
Family Medicine in Texarkana, TX

Active since January 20, 2021CLIA 45D2318341 · Waiver
5904 SUMMERFIELD DR, TEXARKANA, TX 75503(430) 278-0005(430) 278-0006 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 26, 2025, May 5, 2021, Jan 20, 2021 (3 updates tracked since 2021).

About Midsouth Homecare Pllc NPPES

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

MIDSOUTH HOMECARE PLLC (NPI 1295325611) is a healthcare organization registered as a family medicine in Texarkana, Texas and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through February 9, 2027 and lists Vernon Dean Bowman, President, as its authorized official.

NPPES Registry Identity

NPI1295325611
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMIDSOUTH HOMECARE PLLC
Location Address5904 SUMMERFIELD DRTexarkana, TX 75503-4306
Mailing Address5904 Summerfield DrTexarkana, TX 75503-4306 · (430) 278-0005 · Fax (430) 278-0006
Fax(430) 278-0006
Organization SubpartNo
Authorized OfficialVernon Dean BowmanPresident · (430) 200-4350
Enumeration DateJanuary 20, 2021
Last NPPES UpdateFebruary 26, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
✔ NPI 1295325611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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 ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
5904 SUMMERFIELD DR, Texarkana, TX 75503

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Midsouth Homecare Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Midsouth Homecare PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1548014277
5904 SUMMERFIELD DR
Texarkana, TX 75503
(430) 200-4350
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1689522609
5904 SUMMERFIELD DR
Texarkana, TX 75503
(430) 200-4350
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306365358
5904 SUMMERFIELD DR
Texarkana, TX 75503
(430) 200-4350
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215468897
5904 SUMMERFIELD DR
Texarkana, TX 75503
(430) 200-4350
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1609220110
2604 SAINT MICHAEL DR STE 238
Texarkana, TX 75503
(903) 794-8820
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1215475546
5605 FOREST BEND LN
Texarkana, AR 71854
(903) 559-6327
✔ PECOS✔ Accepts Medicare2.9 mi
Family Practice
NPI 1053311068
146 HWY 32-2A
Ashdown, AR 71822
(870) 898-5525
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1962357079
515 WILLOW RD
Hallsville, TX 75650
(903) 736-6180
✔ PECOS✔ Accepts Medicare74 mi
Nurse Practitioner
NPI 1649720806
410 N COLLEGIATE DR
Paris, TX 75460
(903) 204-4007
✔ PECOS✔ Accepts Medicare85 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 45D2318341

Midsouth Homecare, PLLC · Texarkana, TX
Active · expires Feb 9, 2027
CLIA Number45D2318341
Laboratory TypePhysician Office
Certificate Effective DateFebruary 10, 2025
Certificate Expiration DateFebruary 9, 2027
Laboratory DirectorAmanda Rogers
Laboratory Phone(430) 278-0005
Laboratory LocationMidsouth Homecare, PLLC5904 Summerfield Dr, Texarkana, TX 75503
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Midsouth Homecare PLLC's NPI number?

The NPI number for Midsouth Homecare PLLC is 1295325611. It was assigned to this organization in the NPPES registry on January 20, 2021.

Where is Midsouth Homecare PLLC located?

Midsouth Homecare PLLC is located at 5904 Summerfield Dr, Texarkana, TX 75503. The listed phone number is (430) 278-0005.

What is Midsouth Homecare PLLC's specialty?

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

Is Midsouth Homecare PLLC enrolled in Medicare?

Yes. Midsouth Homecare PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Midsouth Homecare PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Midsouth Homecare PLLC. 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 (8) and Family Practice (1). Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Midsouth Homecare PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2318341) is associated with this NPI, valid through February 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Midsouth Homecare PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Midsouth Homecare PLLC 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 Midsouth Homecare PLLC was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.