Organization Active NPI

Quick Phys LLC

  • Nurse Practitioner
  • Nottingham, MD
National Provider Identifier
1063230019
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
QUICK PHYS LLC
Practice address
8114 Sandpiper Cir Ste 207
Nottingham, MD 21236-5902
Phone
(443) 600-8178
Fax
(833) 973-4725
NPI assigned
Sep 30, 2024
Last updated
Oct 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Donta Walton, NPNPI 1619595907
Title
Owner
Phone
(443) 600-8178

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary
Acute Care Nurse Practitioner 363LA2100X
Adult Health Nurse Practitioner 363LA2200X

Addresses

Primary practice location

8114 Sandpiper Cir Ste 207
Nottingham, MD 21236-5902

Mailing address

8114 Sandpiper Cir Ste 207
Nottingham, MD 21236-5902
Phone (443) 854-1553

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241104004022 MD Part B Supplier - Clinic/Group Practice 6800329475 Receives reassigned benefits from 2 practitioners
Practice locations: Nottingham, 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
21D2315601Quick Phys LLC8114 Sandpiper Circle Suite 207, Nottingham, MD 21236Certificate of waiverDec 16, 2026

National Provider Directory

National Provider Directory

Locations

8114 Sandpiper Cir
Ste 207
Nottingham, MD 21236
Phone (443) 600-8178

Practitioners & affiliated clinicians

Practitioners 2

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": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1063230019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8114 SANDPIPER CIR STE 207",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212365902",
            "telephone_number": "443-854-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8114 SANDPIPER CIR STE 207",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212365902",
            "telephone_number": "443-600-8178",
            "fax_number": "833-973-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICK PHYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "DONTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-600-8178",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.