COLLOM AND CARNEY CLINIC ANESTHESIA
NPI 1962829747
Anesthesiology - Pain Medicine in Texarkana, TX
About Collom And Carney Clinic Anesthesia NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLLOM AND CARNEY CLINIC ANESTHESIA (NPI 1962829747) is a healthcare organization registered as a pain medicine in Texarkana, Texas and active in the NPI registry since March 2014. The organization maintains a secondary practice location in Texarkana and lists Mary E Dwight, Chief Operating Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Collom And Carney Clinic Anesthesia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Collom And Carney Clinic Anesthesia, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Collom & Carney Clinic Association's NPI number?
The NPI number for Collom & Carney Clinic Association is 1962829747. It was assigned to this organization in the NPPES registry on March 18, 2014. The provider is also known as Collom And Carney Clinic Anesthesia.
Where is Collom & Carney Clinic Association located?
Collom & Carney Clinic Association is located at 1902 Moores Ln Ste A, Texarkana, TX 75503. The listed phone number is (903) 614-3850.
What is Collom & Carney Clinic Association's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.
Is Collom & Carney Clinic Association enrolled in Medicare?
Yes. Collom & Carney Clinic Association is registered in the Medicare PECOS enrollment system.
When is Collom & Carney Clinic Association's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Collom & Carney Clinic Association?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns their Medicare billing to Collom & Carney Clinic Association. 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.
When was this NPI record last updated?
The NPPES record for Collom & Carney Clinic Association was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Collom And Carney Clinic Anesthesia · NPI 1962829747
Pain Medicine organization in Texarkana, Texas. Organization record, active in the CMS NPPES registry since March 18, 2014.
## Identity
- **NPI:** 1962829747 (Entity type: Organization)
- **Enumerated:** March 18, 2014
- **Primary specialty:** Anesthesiology - Pain Medicine · taxonomy 207LP2900X
- **Legal business name:** Collom & Carney Clinic Association
- **Organization subpart:** No
- **Authorized official:** Mary Dwight, CHIEF OPERATING OFFICER
## Practice location
- **Address:** 1902 MOORES LN STE A, Texarkana, TX 75503-4610
- **Phone:** (903) 614-3850 · **Fax:** (903) 614-3525
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1962829747) · Data from the CMS NPPES public registry.