NPIMap

Organization Active NPI

Associates in Family Practice PA

  • Family Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1376736603
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ASSOCIATES IN FAMILY PRACTICE PA
Practice address
12501 Prosperity Dr Ste 410
Silver Spring, MD 20904-1652
Phone
(301) 368-0038
Fax
(301) 328-0006
NPI assigned
Aug 21, 2007
Last updated
Dec 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Dr. Adolph William Johnson Jr., MDNPI 1235139387
Title
President
Phone
(301) 622-6020

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

12501 Prosperity Dr Ste 410
Silver Spring, MD 20904-1652

Mailing address

12501 Prosperity Dr Ste 410
Silver Spring, MD 20904-1652
Phone (301) 368-0038

Other identifiers 1

IdentifierTypeStateIssuer
0546781OtherMDAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040202001191 DC Part B Supplier - Clinic/Group Practice 2769375005 Receives reassigned benefits from 5 practitioners
Practice locations: Silver Spring, 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
21D0213541Associates in Family Practice12501 Prosperity Drive #410, Silver Spring, MD 20904Provider-performed microscopySep 26, 2027

National Provider Directory

National Provider Directory

Locations

9815 Main St
Damascus, MD 20872
Phone (301) 253-4004

12501 Prosperity Dr
Ste 410
Silver Spring, MD 20904
Phone (301) 368-0038

Practitioners & affiliated clinicians

Practitioners 12

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": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1376736603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 PROSPERITY DR STE 410",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041652",
            "telephone_number": "301-368-0038",
            "fax_number": "301-328-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 PROSPERITY DR STE 410",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041652",
            "telephone_number": "301-368-0038",
            "fax_number": "301-328-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ADOLPH",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-622-6020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0546781",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.