SCARBROUGH CLINIC, INC.
NPI 1386743482
Nurse Practitioner - Family in Wynne, AR

Q: What is Scarbrough Clinic, Inc.'s NPI number?

The NPI number for Scarbrough Clinic, Inc. is 1386743482. It was assigned to this organization in the NPPES registry on September 22, 2006.

Q: What is Scarbrough Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since September 22, 2006CLIA 04D2023294 · Waiver

1901 KILLOUGH RD. NORTH, WYNNE, AR 72396(870) 238-8707(870) 238-8711 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2021, Aug 19, 2021 (2 updates tracked since 2021).

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About Scarbrough Clinic, Inc. NPPES

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

SCARBROUGH CLINIC, INC. (NPI 1386743482) is a healthcare organization registered as a family in Wynne, Arkansas and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 19, 2027 and lists Tad Scarbrough, Fnp/chiropractor/president, as its authorized official.

NPPES Registry Identity

NPI1386743482

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameSCARBROUGH CLINIC, INC.

Location Address1901 KILLOUGH RD. NORTHWynne, AR 72396-2465

Mailing AddressPo Box 572Wynne, AR 72396-0572 · (870) 238-8707 · Fax (870) 533-5573

Phone(870) 238-8707

Fax(870) 238-8711

Organization SubpartNo

Authorized OfficialTad ScarbroughFnp/chiropractor/president · (870) 238-8707

Enumeration DateSeptember 22, 2006

Last NPPES UpdateDecember 13, 20212 updates tracked since enumeration

NPPES CertifiedNovember 29, 2021

✔ NPI 1386743482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AR · P01329

Also ListedChiropractorTaxonomy 111N00000X · License 1544 (AR)

Also ListedLicensed Practical NurseTaxonomy 164W00000X · License P01329 (AR)

1901 KILLOUGH RD. NORTH, Wynne, AR 72396

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Other Identifiers 6

Other3821243AR · Cigna Id Number

Other647764AR · United Healthcare Id #

Other7359415AR · Aetna Id Number

Medicaid158844718AR

Other5U931AR · Ar Bluecrossblueshield

Other19754000040AR · Qualchoice Id Number

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

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 04D2023294

Scarbrough Clinic, The · Wynne, AR

Active · expires Apr 19, 2027

CLIA Number04D2023294

Laboratory TypePhysician Office

Certificate Effective DateApril 20, 2025

Certificate Expiration DateApril 19, 2027

Laboratory DirectorTad Scarbrough

Laboratory Phone(870) 238-8707

Laboratory LocationScarbrough Clinic, The1901 N Killough, Wynne, AR 72396

CLIA data matches this NPI record on: 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 Scarbrough Clinic, Inc.'s NPI number?

The NPI number for Scarbrough Clinic, Inc. is 1386743482. It was assigned to this organization in the NPPES registry on September 22, 2006.

Where is Scarbrough Clinic, Inc. located?

Scarbrough Clinic, Inc. is located at 1901 Killough Rd. North, Wynne, AR 72396. The listed phone number is (870) 238-8707.

What is Scarbrough Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Scarbrough Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2023294) is associated with this NPI, valid through April 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Scarbrough Clinic, Inc. 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 Scarbrough Clinic, Inc. 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 Scarbrough Clinic, Inc. was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.