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 provides Family Medicine Physician services 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 Not confirmed with CMS for 18 years — call before visiting
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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