Collom & Carney Clinic

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COLLOM & CARNEY CLINIC

Practice address

128 N Ellis St
New Boston, TX 75570-2904

Phone

(903) 628-1104

NPI assigned

Nov 17, 2005

Organization subpart

Yes

Parent organization

COLLOM & CARNEY CLINICAs reported in NPPES

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

Authorized official

Name

Rex Thomas Simmons II

Title

Ceo Administrator

Phone

(903) 614-3280

Specialties & licenses 1

Addresses

Other names 1

• Collom & Carney Clinic - New Boston Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Nashville Dialysis Unit

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Collom & Carney Clinic

  • Durable Medical Equipment & Medical Supplies
  • Texarkana, TX
  • NPI 1437455565
  NPPES parent name

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1811979586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 COWHORN CREEK RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755039766",
            "telephone_number": "903-614-3000",
            "fax_number": "903-614-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N ELLIS ST",
            "city": "NEW BOSTON",
            "state": "TX",
            "postal_code": "755702904",
            "telephone_number": "903-628-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLOM & CARNEY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLLOM & CARNEY CLINIC",
        "enumeration_date": "2005-11-17",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO ADMINISTRATOR",
        "authorized_official_telephone_number": "903-614-3280",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collom & Carney Clinic - New Boston",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Andrea Brown, NP-C
• Melissa L Bush
• Jennifer Lee Campbell, LPC
• Jared Dale Clark, APN
• Thomas Miller Coleman III, PHARM D.
• Collom & Carney Clinic Association
• Letha H Colquitt, FNP
• Alecia Nicole Crook, M.S., CCC/SLP
• Tina Cunningham
• Brent Danley

• Durable Medical Equipment & Medical Supplies in New Boston, TX
• Providers in New Boston, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.