Tad Scarbrough, APRN-C, DC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

216876 Issued in AR

Practice address

1901 Killough Rd N
Wynne, AR 72396-4112

Phone

(870) 238-8707

Fax

(870) 533-5573

NPI assigned

Feb 17, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Scarbrough Clinic, Inc.

  • Family Nurse Practitioner
  • Wynne, AR
  • NPI 1386743482
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1144295833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 572",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723960572",
            "telephone_number": "870-238-8707",
            "fax_number": "870-533-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 KILLOUGH RD N",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723964112",
            "telephone_number": "870-238-8707",
            "fax_number": "870-533-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARBROUGH",
        "first_name": "TAD",
        "name_prefix": "Mr.",
        "credential": "APRN-C, DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2021-12-13",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1544",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "216876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143884718",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158844718",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Octavia Robinson, LAT, ATC
• Stephen Rohrer, CNP
• Taylor Scott Runsick, PTA
• Angela Saldana
• Scarbrough Clinic, Inc.
• Farley Lynn Schweighart, PT
• Rhoschandra Lakisha Scott
• Carson Sellers
• Joshua Wayne Sharp, OT
• Samantha Sharp, LPC-S

• Family Nurse Practitioner in Wynne, AR
• Providers in Wynne, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.