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MALVERN FAMILY MEDICAL CLINIC
NPI 1295745933
Family Medicine in Malvern, AR

Active since August 08, 2006CLIA 04D1049900 · Waiver
850 HENRY ST, MALVERN, AR 72104(501) 337-1836(501) 337-7935 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Malvern Family Medical Clinic NPPES

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

MALVERN FAMILY MEDICAL CLINIC (NPI 1295745933) 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 January 19, 2028 and lists Shawn Purifoy, Doctor, as its authorized official.

NPPES Registry Identity

NPI1295745933
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHAWN PURIFOY, M.D., P.A.
Location Address850 HENRY STMalvern, AR 72104-2712
Mailing Address850 Henry StMalvern, AR 72104-2712 · (501) 337-1836 · Fax (501) 337-7935
Phone(501) 337-1836
Fax(501) 337-7935
Organization SubpartNo
Authorized OfficialShawn PurifoyDoctor · (501) 337-1836
Enumeration DateAugust 8, 2006
Last NPPES UpdateJune 13, 2008
✔ NPI 1295745933 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 · E0603
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.
850 HENRY ST, Malvern, AR 72104
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Other Names 1

Doing Business AsMalvern Family Medical Clinic

Other Identifiers 3

Medicaid160100002AR
Medicare UPING12502AR
Medicare ID-Type Unspecified5F472AR

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 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 04D1049900

Malvern Family Medical Clinic · Malvern, AR
Active · expires Jan 19, 2028
CLIA Number04D1049900
Laboratory TypePhysician Office
Certificate Effective DateJanuary 20, 2026
Certificate Expiration DateJanuary 19, 2028
Laboratory DirectorShawn W. Purifoy
Laboratory Phone(501) 337-1836
Laboratory LocationMalvern Family Medical Clinic850 Henry Street, Malvern, AR 72104
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MONA RENEA SIMMS APN
Nurse Practitioner (Family)
850 HENRY ST
MALVERN, AR 72104
Hot Spring County (501) 332-5245
EMILY BERRY PT
Physical Therapist
850 HENRY ST
MALVERN, AR 72104
Hot Spring County (501) 337-1836
SHAWN PURIFOY M.D.
Family Medicine
850 HENRY ST
MALVERN, AR 72104
Hot Spring County (501) 337-1836

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 Shawn Purifoy, M.D., P.A.'s NPI number?

The NPI number for Shawn Purifoy, M.D., P.A. is 1295745933. It was assigned to this organization in the NPPES registry on August 8, 2006. The provider is doing business as Malvern Family Medical Clinic.

Where is Shawn Purifoy, M.D., P.A. located?

Shawn Purifoy, M.D., P.A. is located at 850 Henry St, Malvern, AR 72104. The listed phone number is (501) 337-1836.

What is Shawn Purifoy, M.D., P.A.'s specialty?

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

Does Shawn Purifoy, M.D., P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D1049900) is associated with this NPI, valid through January 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shawn Purifoy, M.D., P.A. 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 Shawn Purifoy, M.D., P.A. 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 Shawn Purifoy, M.D., P.A. was last updated on June 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.