PRIMARY MEDICAL CARE
NPI 1114165354
Clinic/Center in Greenbelt, MD

NPI Status: Active since January 26, 2009

Contact Information

7525 GREENWAY CENTER DR
GREENBELT, MD
ZIP 20770
Phone: (301) 441-7856
Fax: (301) 441-4655

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  • Organization
  • Clinic/Center
  • CLIA Number: 21D2173821
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-20-2025

About PRIMARY MEDICAL CARE

This page provides the complete NPI Profile along with additional information for Primary Medical Care, a provider established in Greenbelt, Maryland operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1114165354 assigned on January 2009. The practitioner's primary taxonomy code is 261Q00000X with license number D4118 (MD). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Primary Medical Care. The authorized official of this NPI record is Mrs. Bernadette Denise Harrelson Health Administrator (Project Manager)

NPI
1114165354
Provider Legal Name
GADSON, LLC
Other Organization Name
PRIMARY MEDICAL CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
7525 GREENWAY CENTER DR GREENBELT, MD 20770
Location Phone
(301) 441-7856
Location Fax
(301) 441-4655
Mailing Address
7525 GREENWAY CENTER DR GREENBELT, MD 20770
Mailing Phone
(301) 441-7856
Mailing Fax
(301) 441-4655
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-26-2009
Last Update Date
01-26-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
D4118
License State
MD
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QC1500XAmbulatory Health Care Facilities

Clinic/Center
Community Health

D4118 (MD)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. BERNADETTE DENISE HARRELSON HEALTH ADMINISTRATOR

Authorized Official Title
PROJECT MANAGER
Authorized Official Phone
(301) 641-7856

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D2173821
Facility Type
Physician Office
Certificate Effective Date
October 21, 2023
Certificate Expiration Date
October 20, 2025
Laboratory Director
DR. KAVEH SADEGHI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Primary Medical Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PRIMARY MEDICAL CARE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114165354
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21242610310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 2 + 6 + 1 + 0 + 3 + 1 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1114165354 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962405985MR. THOMAS A BENSINGER M.D.
Individual
Internal Medicine (Hematology & Oncology)7525 GREENWAY CENTER DR STE 205
GREENBELT, MD 20770
(301) 982-9800
1790785814DR. SAID ABOLGHASSEM DAEE MD
Individual
Surgery7525 GREENWAY CENTER DR SUITE 309
GREENBELT, MD 20770
(301) 220-0099
1497756357DR. MEZGEBE HAILE M.D.
Individual
Pediatrics7525 GREENWAY CENTER DR SUITE T 5
GREENBELT, MD 20770
(301) 345-1400
1174501241 TOMAS J HERNANDEZ MD
Individual
Internal Medicine (Cardiovascular Disease)7525 GREENWAY CENTER DR SUITE T6
GREENBELT, MD 20770
(301) 345-4465
1699742791DR. THOMAS E MASLEN M.D.
Individual
Internal Medicine7525 GREENWAY CENTER DR SUITE 316
GREENBELT, MD 20770
(301) 220-0200
1629006424DR. STEVEN POLLAK M.D.
Individual
Internal Medicine (Nephrology)7525 GREENWAY CENTER DR
GREENBELT, MD 20770
(301) 474-3991
1316976194DR. NASEEM BANU SHARIEFF M.D.
Individual
Pediatrics7525 GREENWAY CENTER DR SUITE 105
GREENBELT, MD 20770
(301) 313-0425
1124050067DR. ZAHRA BUTOOL AHMED M.D.
Individual
Family Medicine7525 GREENWAY CENTER DR SUITE 105
GREENBELT, MD 20770
(301) 313-0425
1609894674CT IMAGING OF GREENWAY, LLC
Organization
Specialist7525 GREENWAY CENTER DR T1
GREENBELT, MD 20770
(301) 982-1919
1730199589DR. NORMAN A MITCHELL NORMAN MITCHELL, DDS
Individual
Dentist (General Practice)7525 GREENWAY CENTER DR SUITE 102
GREENBELT, MD 20770
(301) 345-2880
1770687345DR. PETER STENGEL
Individual
Internal Medicine7525 GREENWAY CENTER DR SUITE T-4
GREENBELT, MD 20770
(301) 345-2463
1528152659JASWINDER S SIDHU, MD, RISHPAL SINGH, MD & STEVEN POLLAK, MD, PA
Organization
Internal Medicine (Nephrology)7525 GREENWAY CENTER DR SUITE #313
GREENBELT, MD 20770
(301) 474-3991
1235224452DR. GWENDOLYN VIRGINIA YOUNGBLOOD M.D.
Individual
Pediatrics7525 GREENWAY CENTER DR SUITE 311
GREENBELT, MD 20770
(301) 441-4555
1497806053MRS. CHARMAYNE TYLER-JACKSON R.N.
Individual
Registered Nurse7525 GREENWAY CENTER DR T-4
GREENBELT, MD 20770
(301) 345-2463
1871639906DR. TUAN TRAN D.D.S
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)7525 GREENWAY CENTER DR 102
GREENBELT, MD 20770
(301) 345-2880
1447393871DR. ADLY E WILSON DMD
Individual
Dentist (General Practice)7525 GREENWAY CENTER DR SUITE # 201
GREENBELT, MD 20770
(301) 345-8600
1528181690 KATHLEEN M. COONEY CPNP
Individual
Nurse Practitioner (Pediatrics)7525 GREENWAY CENTER DR SUITE 110
GREENBELT, MD 20770
(301) 220-1200
1194944926DR. RICHARD S COHEN TOTAL FOOT CARE INC
Organization
Clinic/Center (Ambulatory Surgical)7525 GREENWAY CENTER DR SUITE 112
GREENBELT, MD 20770
(301) 345-4087
1346459682 ALEX SHKLYAR D.D.S.
Individual
Dentist7525 GREENWAY CENTER DR SUITE #102
GREENBELT, MD 20770
(301) 345-2880
1023297504RICHARD S COHEN DPM PA
Organization
Podiatrist7525 GREENWAY CENTER DR SUITE 112
GREENBELT, MD 20770
(301) 345-4087

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114165354, enumerated in the NPI registry as an "organization" on January 26, 2009

The provider is located at 7525 Greenway Center Dr Greenbelt, Md 20770 and the phone number is (301) 441-7856

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider's CLIA number is 21D2173821 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 26, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.