PRIME MEDICAL GROUP PLLC – NPI #1790384899
Dermatology

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.

PRIME MEDICAL GROUP PLLC is a dermatologist located in CAMDEN, AR. NPPES has assigned the NPI number 1790384899 to PRIME MEDICAL GROUP PLLC on October 20, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRIME MEDICAL GROUP PLLC below.

NPI Profile for
PRIME MEDICAL GROUP PLLC

NPI Number
1790384899
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRIME MEDICAL GROUP PLLC
Other name(s)
All associated names:
Doing Business As (dba)
Dermatology Group of Arkansas PA
Doing Business As (dba)
Dermatology Group of Arkansas, PA
Primary location
353 CASH RD SW
CAMDEN, AR 71701-3704
Phone: (501) 227-8422 Fax: (501) 537-2399
Mailing address
9601 BAPTIST HEALTH DR STE 690
LITTLE ROCK, AR 72205-6328
Phone: (501) 227-8422 Fax: (501) 537-2399
Organization Subpart
Yes - PRIME MEDICAL GROUP PLLC is subpart of another organization.
Authorized Official
RAY PARKER
PHYSICIAN
Phone: (501) 227-8422
Updated
Certification Date
Oct 20, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PRIME MEDICAL GROUP PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAR239906002
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207N00000X
- Dermatology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.