Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shane Higginbotham MD PA

Organization Family Medicine Physician · NPI 1033129713

Shane Higginbotham MD PA is a Family Medicine Physician in Malvern, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.

Licensed in
AR
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1002 Schneider Dr Ste 104
Malvern, AR 72104-4816
Phone: (501) 332-7981
Fax: (501) 337-9964
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence E0968 (AR)
Physician Assistant Taxonomy 363A00000X · Licence PA251 (AR)

Record details

NPI number1033129713
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Overton — Office Manager · (501) 337-9994
Other names Higginbotham Family Clinic; Higginbotham Family Clinic
NPI enumeratedAugust 8, 2006
Last updated in NPPESMay 6, 2021
Certification dateMay 6, 2021
Mailing address1002 Schneider Dr, Suite 104, Malvern, AR 72104-4816

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