NPIMap

Organization Active NPI

Prime Group Medical Clinic LLC

Doing business as Prime Group Medical Clinic

  • Internal Medicine Physician
  • Mesquite, TX
National Provider Identifier
1629749783
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIME GROUP MEDICAL CLINIC LLC
Doing business as
Prime Group Medical Clinic
Practice address
2944 Motley Dr Ste 100
Mesquite, TX 75150-3405
Phone
(469) 438-4493
Fax
(972) 439-1776
NPI assigned
Sep 27, 2021
Last updated
Oct 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Authorized official

Name
Jessie Mendiola
Title
Manager
Phone
(469) 438-4493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2944 Motley Dr Ste 100
Mesquite, TX 75150-3405

Mailing address

2944 Motley Dr Ste 100
Mesquite, TX 75150-3405
Phone (469) 438-4493

Other names 1

  • Prime Group Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

3224 Interstate 30
Ste 148
Mesquite, TX 75150
Phone (469) 438-4493

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1629749783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2944 MOTLEY DR STE 100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503405",
            "telephone_number": "469-438-4493",
            "fax_number": "972-439-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2944 MOTLEY DR STE 100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503405",
            "telephone_number": "469-438-4493",
            "fax_number": "972-439-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME GROUP MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "MENDIOLA",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-438-4493"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Group Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prime Group Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.