Organization Active NPI

Peffmed, LLC

  • Internal Medicine Physician
  • Mount Airy, MD
National Provider Identifier
1043116056
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PEFFMED, LLC
Practice address
1502 S Main St Ste 203
Mount Airy, MD 21771-5363
Phone
(240) 875-6321
NPI assigned
Oct 16, 2026
Last updated
Oct 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Authorized official

Name
Shawn Michael Peffall, M.D.NPI 1457318933
Title
Physician
Phone
(240) 875-6321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1502 S Main St Ste 203
Mount Airy, MD 21771-5363

Mailing address

6548 Challedon Cir
Mount Airy, MD 21771-8081
Phone (240) 875-6321

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1792108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792108800000",
    "number": "1043116056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6548 CHALLEDON CIR",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217718081",
            "telephone_number": "240-875-6321",
            "fax_number": "410-364-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 S MAIN ST STE 203",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715363",
            "telephone_number": "240-875-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEFFMED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-16",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A",
        "authorized_official_last_name": "PEFFALL",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "240-875-6321",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.