Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prestige Primary Care Associates, PLLC

Organization Family Medicine Physician · NPI 1790819373

Prestige Primary Care Associates, PLLC is a Family Medicine Physician in South Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2007.

Licensed in
WV
In the registry since
2007
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4501 Maccorkle Ave SW Ste 301
South Charleston, WV 25309-1444
Phone: (304) 768-0700
Fax: (304) 768-9790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 1212 (WV)
Internal Medicine Physician Taxonomy 207R00000X · Licence 1390 (WV)

Record details

NPI number1790819373
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Franklin Moore — Owner · (304) 768-0700
NPI enumeratedMarch 15, 2007
Last updated in NPPESOctober 16, 2007
Mailing address4501 Maccorkle Ave Sw, Suite 301, South Charleston, WV 25309-1444

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