Organization Active NPI

Primary PLLC

  • Family Medicine Physician
  • Jonesboro, AR
National Provider Identifier
1770447948
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMARY PLLC
Practice address
410 S Church St Ste a
Jonesboro, AR 72401-2947
Phone
(870) 259-5794
Fax
(870) 454-8356
NPI assigned
Dec 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Leisa Spence, MDNPI 1932561636
Title
Owner
Phone
(954) 610-6944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

410 S Church St Ste a
Jonesboro, AR 72401-2947

Mailing address

304 S Main St Apt C
Jonesboro, AR 72401-2999
Phone (870) 259-5794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260507001888 AR Part B Supplier - Clinic/Group Practice 0648748699 Receives reassigned benefits from 2 practitioners
Practice locations: Jonesboro, AR

National Provider Directory

National Provider Directory

Locations

410 S Church St
Ste A
Jonesboro, AR 72401
Phone (870) 259-5794

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1770447948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S MAIN ST APT C",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724012999",
            "telephone_number": "870-259-5794",
            "fax_number": "870-454-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S CHURCH ST STE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724012947",
            "telephone_number": "870-259-5794",
            "fax_number": "870-454-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "LEISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-610-6944",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.