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 1104106426

Shane Higginbotham MD PA is a Family Medicine Physician in Rockport, Arkansas. Licensed in Arkansas. Registered with an NPI since 2011.

Licensed in
AR
In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1580 Tanner St
Rockport, AR 72104-2023
Phone: (501) 337-9994
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)

Record details

NPI number1104106426
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 17, 2011
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023
Mailing address1580 Tanner St, Rockport, AR 72104-2023

Other providers in Rockport