Prestige Care, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRESTIGE CARE, PLLC

Doing business as

Prestige Care - Paragould

Practice address

160 Greene 721 Rd Apt D
Paragould, AR 72450-8933

Phone

(870) 472-8403

Fax

(870) 472-8422

NPI assigned

May 15, 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 Carlyle, MDNPI 1184882383

Title

Owner

Phone

(479) 498-6700

Specialties & licenses 1

Addresses

Other names 1

• Prestige Care - Paragould Doing business as

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

  • Family Medicine Physician
  • Jonesboro, AR
  • NPI 1346032208

  O20250528000836

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

  • Family Medicine Physician
  • Jonesboro, AR
  • NPI 1346032208
  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

  NPD Authorized official
• Suzanne Bushong, APN

  • Family Nurse Practitioner
  • Paragould, AR
  • NPI 1417929316
  NPD
• Amy Elms, APRN

  • Family Nurse Practitioner
  • Paragould, AR
  • NPI 1518481589
  NPD
• Necole L Hughes, FNP

  • Family Nurse Practitioner
  • Walnut Ridge, AR
  • NPI 1265814529
  NPD
• Laura Marie Weatherford, APN, FNP-BC

  • Family Nurse Practitioner
  • Jonesboro, AR
  • NPI 1861744773
  NPD

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1922899368",
    "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": "160 GREENE 721 RD APT D",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724508933",
            "telephone_number": "870-472-8403",
            "fax_number": "870-472-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "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": "OWNER",
        "authorized_official_telephone_number": "479-498-6700",
        "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": [
        {
            "organization_name": "Prestige Care - Paragould",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prestige Care - Paragould",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Paragould, AR
• Providers in Paragould, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.