Prime Endocrinology LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

PRIME ENDOCRINOLOGY LLC

Doing business as

Prime Endocrinology LLC

Practice address

11321 Interstate 30 Ste 200
Little Rock, AR 72209-7066

Phone

(501) 455-7009

Fax

(501) 455-7026

NPI assigned

Oct 21, 2019

Organization subpart

No

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

Authorized official

Name

Archana Jarathi, MDNPI 1487801056

Title

Medical Director

Phone

(501) 455-7009

Specialties & licenses 1

Addresses

Other names 1

• Prime Endocrinology LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21134/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Archana Jarathi, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Little Rock, AR
  • NPI 1487801056
  Medicare reassignment NPD Authorized official
• Chaitanya Kumar Musham, MD

  • Internal Medicine Physician
  • Little Rock, AR
  • NPI 1588866297
  Medicare reassignment NPD

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1306489406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11321 INTERSTATE 30 STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722097066",
            "telephone_number": "501-455-7009",
            "fax_number": "501-455-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11321 INTERSTATE 30 STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722097066",
            "telephone_number": "501-455-7009",
            "fax_number": "501-455-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME ENDOCRINOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "JARATHI",
        "authorized_official_first_name": "ARCHANA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "501-455-7009",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Endocrinology LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marieca Pride
• Siniyah Pride
• Aaron Kyle Priest, PHARM.D.
• Jessica Marie Priest
• Primary Care of Arkansas Chrystal Johnson MD
• Prime Healthcare Services, LLC
• Prime Medical Group PLLC
• Prime Medical Group PLLC
• Stacie Prime, QBHP
• Audra Prince, MD

• Endocrinology, Diabetes & Metabolism Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Endocrinology, Diabetes & Metabolism Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.