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

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: November 01, 2026.

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

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
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

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scarbrough Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Scarbrough Clinic, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1144295833
1901 KILLOUGH RD N
Wynne, AR 72396
(870) 238-8707
✔ PECOS✔ Accepts MedicareSame address

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 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.

Is Scarbrough Clinic, Inc. enrolled in Medicare?

Yes. Scarbrough Clinic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Scarbrough Clinic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Scarbrough Clinic, Inc.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer 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.