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Shane Higginbotham MD PA

Family Medicine Physician in Malvern, AR · enumerated 2006 · authorized official Kim Overton, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033129713

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Registry record

Entity type Organization (Type 2)
Legal business name Shane Higginbotham MD PA
Other name <Unavail>
Practice address 1002 Schneider Dr, Suite 104, Malvern, AR, 72104
Phone (501) 332-7981
Fax (501) 337-9964
Enumeration date Aug 8, 2006
Last updated in NPPES May 6, 2021

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License E0968 (AR) Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA251 (AR) Secondary

Authorized official

Name Kim Overton
Title Office Manager
Phone (501) 337-9994

Other identifiers

Identifier Type State Issuer
205795002 Medicaid AR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-05-06. Verify at npiregistry.cms.hhs.gov.
Where is Shane Higginbotham MD PA located?
The practice location on file with NPPES is in Malvern, AR.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-05-06.