Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PRIME ADVANCED WOUND CARE GROUP
Active
Organization
PRIME ADVANCED WOUND CARE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELLE KELLEY (MEMBER)
(903) 647-7580
Entity
Organization
Contact information
Practice address
4201 INTERWAY PL, ARLINGTON, TX 76018-5668
(888) 777-9032
Mailing address
4201 INTERWAY PL, ARLINGTON, TX 76018-5668
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
NULL
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/09/2026
Last updated
08/04/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers