Prestige Care, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRESTIGE CARE, PLLC

Practice address

411 W Washington Ave Ste B
Jonesboro, AR 72401-2781

Phone

(870) 275-4272

Fax

(870) 275-4277

NPI assigned

May 19, 2025

Last updated

Aug 1, 2025By 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

Benjamin Wagner CarlyleNPI 1184882383

Title

Authorized Official

Phone

(479) 498-6700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Prestige Care, PLLC

  dba Prestige Care - Paragould

  • Family Medicine Physician
  • Paragould, AR
  • NPI 1922899368

  O20250528000836

  Same enrollment

Tax ID family

Prestige Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Prestige Care, PLLC

  dba Prestige Care - Blytheville

  • Family Medicine Physician
  • Blytheville, AR
  • NPI 1255122602
  NPD tax ID
• Prestige Care, PLLC

  dba Prestige Care - Paragould

  • Family Medicine Physician
  • Paragould, AR
  • NPI 1922899368
  NPD tax ID

Locations

Practitioners 5

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.

• Benjamin Wagner Carlyle, M.D.

  • Internal Medicine Physician
  • Farmington, AR
  • NPI 1184882383

  Family Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Amy Elms, APRN

  • Family Nurse Practitioner
  • Paragould, AR
  • NPI 1518481589
  Medicare reassignment Care Compare group NPD
• Necole L Hughes, FNP

  • Family Nurse Practitioner
  • Walnut Ridge, AR
  • NPI 1265814529
  Medicare reassignment Care Compare group NPD
• Laura Marie Weatherford, APN, FNP-BC

  • Family Nurse Practitioner
  • Jonesboro, AR
  • NPI 1861744773
  Medicare reassignment Care Compare group NPD
• Suzanne Bushong, APN

  • Family Nurse Practitioner
  • Paragould, AR
  • NPI 1417929316
  NPD

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1346032208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9178",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728119178",
            "telephone_number": "800-824-4094",
            "fax_number": "479-968-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W WASHINGTON AVE STE B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724012781",
            "telephone_number": "870-275-4272",
            "fax_number": "870-275-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "CARLYLE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "WAGNER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "479-498-6700"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prescription Lens, Inc.
• Emmett A Presley, LCSW, DCSW, MSWAC
• Sarah L Presley, LPN
• Lisa Marie Pressnell, MSN-APN
• Graceon Prestidge
• Prestige Medical Supply Inc
• Tybreunna Preston
• Robert Prevo
• Herbert H Price III, M.D.
• Kristin Nicole Price, PHARMD

• Family Medicine Physician in Jonesboro, AR
• Providers in Jonesboro, 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 Aug 1, 2025; 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.