Active NPI
Midsouth Homecare PLLC
- Family Medicine Physician
- Texarkana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MIDSOUTH HOMECARE PLLC
- Practice address
- 5904 Summerfield Dr
Texarkana, TX 75503-4306 - Phone
- (430) 278-0005
- Fax
- (430) 278-0006
- NPI assigned
- Jan 20, 2021
- Last updated
- Feb 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vernon Dean Bowman, MD
- Title
- President
- Phone
- (430) 200-4350
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X |
Addresses
Primary practice location
5904 Summerfield Dr
Texarkana, TX 75503-4306
Mailing address
5904 Summerfield Dr
Texarkana, TX 75503-4306
Phone (430) 278-0005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2318341 | Midsouth Homecare, PLLC | Certificate of waiver | Feb 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
2801 Richmond Rd
Texarkana, TX 75503
Phone (903) 244-5078
5904 Summerfield Dr
Texarkana, TX 75503
Phone (430) 200-4350
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Texarkana, TX
- NPI 1548014277
-
- Primary Care Nurse Practitioner
- Texarkana, TX
- NPI 1306365358
-
- Family Nurse Practitioner
- Paris, TX
- NPI 1649720806
-
- Nurse Practitioner
- Hallsville, TX
- NPI 1962357079
-
- Primary Care Nurse Practitioner
- Texarkana, TX
- NPI 1689522609
-
- Family Nurse Practitioner
- Texarkana, TX
- NPI 1609220110
-
- Family Nurse Practitioner
- Cushing, TX
- NPI 1861979734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740528000000",
"number": "1295325611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5904 SUMMERFIELD DR",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755034306",
"telephone_number": "430-278-0005",
"fax_number": "430-278-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5904 SUMMERFIELD DR",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755034306",
"telephone_number": "430-278-0005",
"fax_number": "430-278-0006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDSOUTH HOMECARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-20",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A",
"authorized_official_last_name": "BOWMAN",
"authorized_official_first_name": "VERNON",
"authorized_official_middle_name": "DEAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "430-200-4350",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.