Primary Care Collective, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIMARY CARE COLLECTIVE, PLLC

Practice address

11300 Roberts Blvd
Fort Smith, AR 72916-6027

Phone

(479) 242-5910

Fax

(479) 668-0169

NPI assigned

Dec 16, 2025

Last updated

Mar 11, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Delli Rae Tyler, DONPI 1093455263

Title

Physician

Phone

(479) 883-0917

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Delli Rae Tyler, DO

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1093455263
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1013871714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 ROBERTS BLVD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729166027",
            "telephone_number": "479-242-5910",
            "fax_number": "479-668-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 ROBERTS BLVD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729166027",
            "telephone_number": "479-242-5910",
            "fax_number": "479-668-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE COLLECTIVE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-16",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "DELLI",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "479-883-0917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Scott Price, MD
• Lawrence C Price, M.D.
• Ragan Price, QBHP
• Susan K. Price, RT (R)(T)
• Bryant Prieto, LPC
• Prime Physicians LLC
• Primecare Medical Solutions
• Prince Drug Store Inc
• Professional Registered Nurses (PRN Medical Services)
• Professional Registered Nurses Inc (PRN Medical Services)

• Family Medicine Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.