OrganizationActive
Prime Care Family Medicine, Inc
NPI 1487908117 · Family Medicine Physician · Neosho, MO
Provider details
- NPI number
- 1487908117
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Craig Pendergrass, Owner(417) 451-4545
- License
- 110888 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
117 E Hickory St
Neosho, MO 64850
Phone: (417) 451-4545
Fax: (417) 451-4546
Street-level locationGet directions
Mailing address
Po Box 220
Neosho, MO 64850-0220
Registry dates
- Enumerated
- 2012-11-02
- Last updated
- 2012-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.