COLLOM AND CARNEY CLINIC ALLERGY & IMMUNOLOGY
NPI 1992786370
Allergy & Immunology in Texarkana, TX

Active since November 11, 2005
5002 COWHORN CREEK RD, TEXARKANA, TX 75503(903) 614-3000(903) 614-3525 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 24, 2023, Jul 21, 2022, Oct 1, 2019 (3 updates tracked since 2019).

About Collom And Carney Clinic Allergy & Immunology NPPES

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

COLLOM AND CARNEY CLINIC ALLERGY & IMMUNOLOGY (NPI 1992786370) is a healthcare organization registered as an allergy & immunology in Texarkana, Texas and active in the NPI registry since November 2005. The organization lists Mary E Dwight, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1992786370
Entity TypeOrganization
Primary Taxonomy207K00000X
Legal Business NameCOLLOM AND CARNEY CLINIC ASSOCIATION
Location Address5002 COWHORN CREEK RDTexarkana, TX 75503-9766
Mailing Address5002 Cowhorn Creek RdTexarkana, TX 75503-9766 · (903) 614-3000 · Fax (903) 614-3525
Fax(903) 614-3525
Organization SubpartYesParent: Collom And Carney Clinic
Authorized OfficialMary E DwightChief Operating Officer · (903) 614-3282
Enumeration DateNovember 11, 2005
Last NPPES UpdateFebruary 24, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2023
✔ NPI 1992786370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
5002 COWHORN CREEK RD, Texarkana, TX 75503

Other Names 1

Other NameCollom And Carney Clinic Allergy & Immunology

Other Identifiers 2

Medicaid081264602TX
OtherCU0435Railroad Medicare

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

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 Allergy & Immunology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 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.

StateEnrollment IDDue date
StateTexasEnrollment IDO20031226000046Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

40

Medicare enrollment records show 40 clinicians reassign Medicare billing to Collom And Carney Clinic Allergy & Immunology, which bills Medicare for the services they deliver. Of these, 22 practice at this address and 36 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Nurse Practitioner14
Family Practice9
Pediatric Medicine5
Urology4
Internal Medicine3
Ophthalmology2
Dermatology1
Orthopedic Surgery1
1 other specialty1

Nearest to this location (20)

See all 40
Nurse Practitioner
NPI 1144249475
5002 COWHORN CREEK RD
Texarkana, TX 75503
(903) 614-3000
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1609998582
5002 COWHORN CREEK RD
Texarkana, TX 75503
(903) 614-3000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1720088636
5002 COWHORN CREEK RD
Texarkana, TX 75503
(903) 614-3000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1740046077
5002 COWHORN CREEK ROAD
Texarkana, TX 75503
(903) 614-3000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1962119586
5002 COWHORN CREEK RD
Texarkana, TX 75503
(903) 614-3001
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1992775100
5002 COWHORN CREEK RD
Texarkana, TX 75503
(903) 614-3000
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1285853515
5002 COWHORN CREEK RD
Texarkana, TX 75503
(903) 614-3000
✔ PECOSSame address
Nurse Practitioner
NPI 1164420501
5002 COWHORN CREEK RD
Texarkana, TX 75503
(903) 614-3000
✔ PECOSSame address
Nurse Practitioner
NPI 1962402867
5002 COWHORN CREEK RD
Texarkana, TX 75503
(903) 614-3000
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1154321255
5002 COWHORN CREEK RD
Texarkana, TX 75503
(903) 614-3000
✔ PECOSSame address
Pediatric Medicine
NPI 1619977097
5002 COWHORN CREEK RD
Texarkana, TX 75503
(903) 614-3000
✔ PECOSSame address
Internal Medicine
NPI 1265432645
5002 COWHORN CREEK RD
Texarkana, TX 75503
(903) 614-3000
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1518967181
5002 COWHORN CREEK RD
Texarkana, TX 75503
(903) 614-3000
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1598743247
5002 COWHORN CREEK RD
Texarkana, TX 75503
(903) 614-3000
✔ PECOSSame address
Physical Medicine and Rehabilitation
NPI 1659371557
5002 COWHORN CREEK RD
Texarkana, TX 75503
(903) 614-3000
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1174502991
5002 COWHORN CREEK RD
Texarkana, TX 75503
(903) 614-3000
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1588807655
5002 COWHORN CREEK RD
Texarkana, TX 75503
(903) 614-3000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1912975111
5002 COWHORN CREEK RD
Texarkana, TX 75503
(903) 614-3000
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1598750788
5002 COWHORN CREEK RD
Texarkana, TX 75503
(903) 614-3000
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1821409939
5002 COWHORN CREEK RD
Texarkana, TX 75503
(903) 614-3002
✔ PECOSSame address
See all 40 clinicians

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 And Carney Clinic Association's NPI number?

The NPI number for Collom And Carney Clinic Association is 1992786370. It was assigned to this organization in the NPPES registry on November 11, 2005. The provider is also known as Collom And Carney Clinic Allergy & Immunology.

Where is Collom And Carney Clinic Association located?

Collom And Carney Clinic Association is located at 5002 Cowhorn Creek Rd, Texarkana, TX 75503. The listed phone number is (903) 614-3000.

What is Collom And Carney Clinic Association's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Collom And Carney Clinic Association enrolled in Medicare?

Yes. Collom And Carney Clinic Association is registered in the Medicare PECOS enrollment system.

When is Collom And 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 February 28, 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 And Carney Clinic Association?

According to the CMS Revalidation Reassignment List (October 2026 release), 40 clinicians in 9 Medicare specialties reassign their Medicare billing to Collom And 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. The largest specialties are Nurse Practitioner (14), Family Practice (9) and Pediatric Medicine (5). Of these, 22 practice at this address and 36 within 10 miles. 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 And Carney Clinic Association was last updated on February 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.