Shane Higginbotham MD PA
NPI 1033129713 · Family Medicine Physician · Malvern, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shane Higginbotham MD PA is a Family Medicine Physician organization in Malvern, AR (NPI 1033129713).
Provider details
- NPI number
- 1033129713
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kim Overton, Office Manager(501) 337-9994
- License
- PA251 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Higginbotham Family Clinic
- Doing business as
- Higginbotham Family Clinic
Registry dates
- Enumerated
- 2006-08-08
- Last updated
- 2021-05-06
- Certified
- 2021-05-06
Frequently asked questions
- What is Shane Higginbotham MD PA's NPI number?
- Shane Higginbotham MD PA's National Provider Identifier (NPI) is 1033129713, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shane Higginbotham MD PA?
- Shane Higginbotham MD PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Shane Higginbotham MD PA located?
- Shane Higginbotham MD PA's practice location on file with NPPES is 1002 Schneider Dr, Malvern, AR 72104-4816.
- What is Shane Higginbotham MD PA's phone number?
- The practice phone number listed in the NPPES registry for Shane Higginbotham MD PA is (501) 332-7981.
- Does Shane Higginbotham MD PA accept Medicare?
- Shane Higginbotham MD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shane Higginbotham MD PA?
- The authorized official listed on Shane Higginbotham MD PA's NPPES record is Kim Overton, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shane Higginbotham MD PA's NPI active?
- Yes — Shane Higginbotham MD PA's NPI (1033129713) is active in the NPPES registry as of the last update on 2021-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.