NPIMap

Organization Active NPI

Prince George's County Health

  • Health Educator
  • Bryans Road, MD
National Provider Identifier
1447182415
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
PRINCE GEORGE'S COUNTY HEALTH
Practice address
8030 Matthews Rd Unit 105-107
Bryans Road, MD 20616-4265
Phone
(301) 883-7879
NPI assigned
Jun 2, 2026
Last updated
Jun 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Tamala Vicks
Title
Credentialing Specialist
Phone
(301) 883-7822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X Primary

Addresses

Primary practice location

8030 Matthews Rd Unit 105-107
Bryans Road, MD 20616-4265

Mailing address

9187 Central Ave
Capitol Heights, MD 20743-3806
Phone (301) 883-7879

National Provider Directory

National Provider Directory
Tax ID family
Prince Georges County Health Dept48 organizations share this tax ID, including this one

Other organizations with this tax ID 47

Organizations that report the same tax identification number in the National Provider Directory.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1447182415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9187 CENTRAL AVE",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207433806",
            "telephone_number": "301-883-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8030 MATTHEWS RD UNIT 105-107",
            "city": "BRYANS ROAD",
            "state": "MD",
            "postal_code": "206164265",
            "telephone_number": "301-883-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE GEORGE'S COUNTY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "VICKS",
        "authorized_official_first_name": "TAMALA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "301-883-7822"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryans Road, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.