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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TRIDENT MEDICAL CARE GROUP LLC
NPI 1629904461
Family Medicine in Russellville, AR

Active since June 19, 2026
106 S INGLEWOOD AVE STE A, RUSSELLVILLE, AR 72801(479) 449-0400(479) 282-0410 Get Directions Write a Review

NPPES record added: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Trident Medical Care Group Llc NPPES

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

TRIDENT MEDICAL CARE GROUP LLC (NPI 1629904461) is a healthcare organization registered as a family medicine in Russellville, Arkansas and active in the NPI registry since June 2026. The organization lists Kacey Seal, Manager, as its authorized official.

NPPES Registry Identity

NPI1629904461
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTRIDENT MEDICAL CARE GROUP LLC
Location Address106 S INGLEWOOD AVE STE ARussellville, AR 72801-3353
Mailing Address10398 Cherokee LoopDardanelle, AR 72834-2402 · (479) 449-0400 · Fax (479) 282-0410
Phone(479) 449-0400
Fax(479) 282-0410
Organization SubpartNo
Authorized OfficialKacey SealManager · (479) 449-0400
Enumeration DateJune 19, 2026
NPPES CertifiedJune 19, 2026
✔ NPI 1629904461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
106 S INGLEWOOD AVE STE A, Russellville, AR 72801
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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 2

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

PENNY PARSONS SIMS APRN
Family Medicine
106 S INGLEWOOD AVE STE A
RUSSELLVILLE, AR 72801
Pope County (479) 449-0400
TAYLOR NICOLE PRATT HIS
Hearing Instrument Specialist
106 S INGLEWOOD AVE STE A
RUSSELLVILLE, AR 72801
Pope County (479) 449-6716

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 Trident Medical Care Group LLC's NPI number?

The NPI number for Trident Medical Care Group LLC is 1629904461. It was assigned to this organization in the NPPES registry on June 19, 2026.

Where is Trident Medical Care Group LLC located?

Trident Medical Care Group LLC is located at 106 S Inglewood Ave Ste A, Russellville, AR 72801. The listed phone number is (479) 449-0400.

What is Trident Medical Care Group LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Trident Medical Care Group LLC was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.