Prime Medical Group Pllc
Prime Medical Group Pllc is a healthcare organization registered as Dermatology Physician in Pine Bluff, AR, holding Type 2 (organization) NPI 1629677737 since 2020. The authorized official on file is Ray Parker, Physician.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1629677737 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Prime Medical Group Pllc |
| Parent organization | Prime Medical Group Pllc |
| Practice address | 1416 W 43RD AVE, Pine Bluff, AR, 71603 |
| Phone | 8705357477 |
| Fax | 8705354121 |
| Enumeration date | 2020-10-20 |
| Last updated in NPPES | 2020-10-20 |
Authorized official
| Name | Ray Parker |
|---|---|
| Title | Physician |
| Phone | 5012278422 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207N00000X | Dermatology Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2399040002 | Medicaid | AR | — |
Copy-ready billing details
Provider: Prime Medical Group Pllc NPI: 1629677737 Taxonomy: 207N00000X (Dermatology Physician) Address: 1416 W 43RD AVE, Pine Bluff, AR, 71603
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1912992843 | Daniel Smith | Individual | Dermatology Physician | Pine Bluff, AR |
Verify this record
Cross-check NPI 1629677737 against the authoritative CMS record: view Prime Medical Group Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Prime Medical Group Pllc located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-10-20.