# PRESTIGE CARE, PLLC

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Prestige Care - Blytheville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255122602
- **Authorized official:** BENJAMIN WAGNER CARLYLE (OWNER)
- **Authorized official phone:** (479) 498-6700

## Contact information

- **Practice address:** 1100 MEDICAL DR STE C, BLYTHEVILLE, AR 72315-2437
- **Practice address phone:** (870) 472-8403
- **Practice address fax:** (870) 472-8370
- **Mailing address:** PO BOX 9178, RUSSELLVILLE, AR 72811-9178
- **Mailing address phone:** (800) 824-4094
- **Mailing address fax:** (479) 968-1673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2025
- **Last updated:** 06/26/2025