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 provides Dermatology Physician services 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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