Prestige Primary Care Associates, PLLC
NPI 1790819373ActiveOrganization· Family Medicine· South Charleston, WV
Family Medicine in South Charleston, West Virginia, registered in NPPES in March 2007. The authorized official on file is Franklin Scott Moore, D.O., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790819373 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 15, 2007 |
| Last updated in NPPES | Oct 16, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 1212 | WV |
| Internal Medicine | 207R00000X | 1390 | WV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WV) |
|---|
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