Prestige Primary Care Associates, PLLC
NPI 1790819373 · Family Medicine Physician · South Charleston, WV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prestige Primary Care Associates, PLLC is a Family Medicine Physician organization in South Charleston, WV (NPI 1790819373).
Provider details
- NPI number
- 1790819373
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Franklin Moore, Owner(304) 768-0700
- License
- 1390 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-03-15
- Last updated
- 2007-10-16
Frequently asked questions
- What is Prestige Primary Care Associates, PLLC's NPI number?
- Prestige Primary Care Associates, PLLC's National Provider Identifier (NPI) is 1790819373, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prestige Primary Care Associates, PLLC?
- Prestige Primary Care Associates, PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Prestige Primary Care Associates, PLLC located?
- Prestige Primary Care Associates, PLLC's practice location on file with NPPES is 4501 Maccorkle Ave Sw, South Charleston, WV 25309-1444.
- What is Prestige Primary Care Associates, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Prestige Primary Care Associates, PLLC is (304) 768-0700.
- Does Prestige Primary Care Associates, PLLC accept Medicare?
- Prestige Primary Care Associates, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Prestige Primary Care Associates, PLLC?
- The authorized official listed on Prestige Primary Care Associates, PLLC's NPPES record is Franklin Moore, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prestige Primary Care Associates, PLLC's NPI active?
- Yes — Prestige Primary Care Associates, PLLC's NPI (1790819373) is active in the NPPES registry as of the last update on 2007-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.