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Prestige Primary Care Associates, Pllc

Family Medicine Physician in South Charleston, WV · enumerated 2007 · authorized official Franklin Moore, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790819373

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Registry record

Entity type Organization (Type 2)
Legal business name Prestige Primary Care Associates, Pllc
Practice address 4501 Maccorkle Ave Sw, Suite 301, South Charleston, WV, 25309
Fax (304) 768-9790
Enumeration date Mar 15, 2007
Last updated in NPPES Oct 16, 2007

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 1212 (WV) Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 1390 (WV) Secondary

Authorized official

Name Franklin Moore
Title Owner

Other identifiers

Identifier Type State Issuer
3810007578 Medicaid WV -

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.

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Frequently asked questions

What type of organization is Prestige Primary Care Associates, Pllc?
Prestige Primary Care Associates, Pllc is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-16.