MALVERN FAMILY MEDICAL CLINIC
NPI 1295745933
Family Medicine in Malvern, AR
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
Specialties & Licenses
Other Names 1
Other Identifiers 3
Group Practice 1
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)
Malvern Family Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Malvern Family Medical Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 04D1049900
Malvern Family Medical Clinic · Malvern, ARFrequently 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.
Is Shawn Purifoy, M.D., P.A. enrolled in Medicare?
Yes. Shawn Purifoy, M.D., P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shawn Purifoy, M.D., P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Shawn Purifoy, M.D., P.A.. 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 (6) and Family Practice (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer 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.
# Malvern Family Medical Clinic · NPI 1295745933
Family Medicine organization in Malvern, Arkansas. Organization record, active in the CMS NPPES registry since August 8, 2006.
## Identity
- **NPI:** 1295745933 (Entity type: Organization)
- **Enumerated:** August 8, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Shawn Purifoy, M.d., P.a.
- **Organization subpart:** No
- **Authorized official:** Shawn Purifoy, DOCTOR
## Practice location
- **Address:** 850 HENRY ST, Malvern, AR 72104-2712
- **Phone:** (501) 337-1836 · **Fax:** (501) 337-7935
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 13, 2008
- **Other identifiers:** Medicaid 160100002 (AR); Medicare UPIN G12502 (AR); Medicare ID-Type Unspecified 5F472 (AR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1295745933) · Data from the CMS NPPES public registry.