Gadson, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

D4118 Issued in MD

Legal business name

GADSON, LLC

Doing business as

Primary Medical Care

Practice address

7525 Greenway Center Dr
Greenbelt, MD 20770-3509

Phone

(301) 441-7856

Fax

(301) 441-4655

NPI assigned

Jan 26, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Bernadette Denise Harrelson, HEALTH ADMINISTRATOR

Title

Project Manager

Phone

(301) 641-7856

Specialties & licenses 2

Addresses

Other names 1

• Primary Medical Care Doing business as

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1114165354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 GREENWAY CENTER DR",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703509",
            "telephone_number": "301-441-7856",
            "fax_number": "301-441-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 GREENWAY CENTER DR",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703509",
            "telephone_number": "301-441-7856",
            "fax_number": "301-441-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GADSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "HARRELSON",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "301-641-7856",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "HEALTH ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "D4118",
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MD",
            "license": "D4118",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Relindis Mangie Fru, RN
• Nelson Fultang
• Fyne Grace Health Services LLC
• Anna Melody Gabriszeski, LCSW-C
• Fathy Gado
• Cherralle Gaines
• Mary Galadima
• Emmanuel G Galega, CHW
• Carine Feh Gamoua
• Marissa Gandee

• Clinic/Center in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.