OrganizationActive
Primary Care of Ada, LLC
NPI 1851744312 · Internal Medicine Physician · Ada, OK
Primary Care of Ada, LLC is a Internal Medicine Physician organization in Ada, OK (NPI 1851744312).
Provider details
- NPI number
- 1851744312
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Randi Ivy, Credentialing Specialist(580) 272-0485
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1705 Cradduck Rd
Ada, OK 74820-9491
Phone: (580) 279-6313
Street-level locationGet directions
Mailing address
1705 Cradduck Rd Ste B
Ada, OK 74820-9491
Registry dates
- Enumerated
- 2016-07-20
- Last updated
- 2021-12-23
- Certified
- 2021-12-23
Frequently asked questions
- What is Primary Care of Ada, LLC's NPI number?
- Primary Care of Ada, LLC's National Provider Identifier (NPI) is 1851744312, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Primary Care of Ada, LLC?
- Primary Care of Ada, LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Primary Care of Ada, LLC located?
- Primary Care of Ada, LLC's practice location on file with NPPES is 1705 Cradduck Rd, Ada, OK 74820-9491.
- What is Primary Care of Ada, LLC's phone number?
- The practice phone number listed in the NPPES registry for Primary Care of Ada, LLC is (580) 279-6313.
- Who is the authorized official for Primary Care of Ada, LLC?
- The authorized official listed on Primary Care of Ada, LLC's NPPES record is Randi Ivy, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Primary Care of Ada, LLC's NPI active?
- Yes — Primary Care of Ada, LLC's NPI (1851744312) is active in the NPPES registry as of the last update on 2021-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.