PRIME MEDICAL GROUP PLLC
NPI 1629677737
Dermatology in Pine Bluff, AR

Active since October 20, 2020
1416 W 43RD AVE, PINE BLUFF, AR 71603(870) 535-7477(870) 535-4121 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prime Medical Group Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIME MEDICAL GROUP PLLC (NPI 1629677737) is a healthcare organization registered as a dermatology in Pine Bluff, Arkansas and active in the NPI registry since October 2020. The organization lists Ray Kohler Parker, Physician, as its authorized official.

NPPES Registry Identity

NPI1629677737
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePRIME MEDICAL GROUP PLLC
Location Address1416 W 43RD AVEPine Bluff, AR 71603-7010
Mailing Address9601 Baptist Health Dr Ste 690Little Rock, AR 72205-6328 · (501) 227-8422 · Fax (501) 537-2399
Fax(870) 535-4121
Organization SubpartYes
Authorized OfficialRay Kohler ParkerPhysician · (501) 227-8422
Enumeration DateOctober 20, 2020
NPPES CertifiedOctober 20, 2020
NPI 1629677737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1416 W 43RD AVE, Pine Bluff, AR 71603

Other Identifiers 1

Medicaid2399040002AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
1416 W 43RD AVE
PINE BLUFF, AR 71603

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prime Medical Group PLLC's NPI number?

The NPI number for Prime Medical Group PLLC is 1629677737. It was assigned to this organization in the NPPES registry on October 20, 2020.

Where is Prime Medical Group PLLC located?

Prime Medical Group PLLC is located at 1416 W 43rd Ave, Pine Bluff, AR 71603. The listed phone number is (870) 535-7477.

What is Prime Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Prime Medical Group PLLC was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.