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

Prime Medical Group PLLC

Organization Dermatology Physician · NPI 1629677737

Prime Medical Group PLLC is a Dermatology Physician in Pine Bluff, Arkansas. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1416 W 43rd Ave
Pine Bluff, AR 71603-7010
Phone: (870) 535-7477
Fax: (870) 535-4121
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1629677737
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPrime Medical Group PLLC
Authorized official Ray Parker — Physician · (501) 227-8422
NPI enumeratedOctober 20, 2020
Last updated in NPPESOctober 20, 2020
Certification dateOctober 20, 2020
Mailing address9601 Baptist Health Dr Ste 690, Little Rock, AR 72205-6328

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