Organization Active NPI

GBMC Health Partners at Helping Up Mission, LLC

Doing business as GBMC Health Partners at Jonestown

  • General Practice Physician
  • Baltimore, MD
National Provider Identifier
1003389115
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GBMC HEALTH PARTNERS AT HELPING UP MISSION, LLC
Doing business as
GBMC Health Partners at Jonestown
Practice address
1017 E Baltimore St
Ground Floor
Baltimore, MD 21202-4705
Phone
(410) 826-0170
NPI assigned
Jan 11, 2019
Last updated
Nov 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laurie R Beyer
Title
Evp & Cfo
Phone
(443) 849-2519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1017 E Baltimore St
Ground Floor
Baltimore, MD 21202-4705

Mailing address

6701 N. Charles Street
S. Chapman Building, Suite 102
Baltimore, MD 21204
Phone (443) 849-2000

Other names 1

  • GBMC Health Partners at Jonestown Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190617000719 MD Part B Supplier - Clinic/Group Practice 1850624347 Receives reassigned benefits from 5 practitioners
Practice locations: Baltimore, MD

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2164353GBMC Health Partners at Jonestown1017 E Baltimore St Ground Level, Baltimore, MD 21202Provider-performed microscopyApr 2, 2027

National Provider Directory

National Provider Directory

Locations

6701 N Charles St
Rm 3808
Baltimore, MD 21204
Phone (443) 849-6098

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1003389115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 N. CHARLES STREET",
            "address_2": "S. CHAPMAN BUILDING, SUITE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21204",
            "telephone_number": "443-849-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 E BALTIMORE ST",
            "address_2": "GROUND FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024705",
            "telephone_number": "410-826-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GBMC HEALTH PARTNERS AT HELPING UP MISSION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-11",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "BEYER",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EVP & CFO",
        "authorized_official_telephone_number": "443-849-2519"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GBMC Health Partners at Jonestown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.