Individual provider Active NPI

Festus Addo Agyekum, PA-C

  • Physician Assistant
  • Frederick, MD
National Provider Identifier
1508070913
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0002903 Issued in MD
Practice address
1050 Key Pkwy Ste 102
Frederick, MD 21702-4496
Phone
(240) 215-1138
Fax
(240) 215-1140
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0002903 MD Primary

Addresses

Primary practice location

1050 Key Pkwy Ste 102
Frederick, MD 21702-4496

Mailing address

2649 Front Shed Dr
Frederick, MD 21702-2839
Phone (240) 215-1138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210112001748 MD Practitioner - Physician Assistant 2062606841 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians

Practice addresses (Care Compare)

1050 Key Pkwy
Suite 102
Frederick, MD 21702-4496
Phone (240) 215-1138

110 Baughmans LN
Suite 140
Frederick, MD 21702-4649
Phone (240) 215-1138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0002903MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC CurrentSince Feb 7, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Jan 12, 2026 Accepting new patients
Menocal Medical Services PA Current Accepting new patients
Walnut Street Community Health Center, Inc. CurrentSince Dec 7, 2020 Accepting new patients
The Healthcaring Clinic of Florida, LLC Past Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Privia Care Center LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1001 Pine Heights Ave
Ste 304
Baltimore, MD 21229
Phone (410) 646-0220

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

13204 Fountain Head Plz
Hagerstown, MD 21742
Phone (240) 215-1138

201 S Cleveland Ave
Hagerstown, MD 21740
Phone (301) 745-3777

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: festus.agyekum.1@8042.direct.athenahealth.com
  • Direct secure messaging: festus.agyekum.p1@direct.familyhch.nextgenshare.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1508070913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 FRONT SHED DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217022839",
            "telephone_number": "240-215-1138",
            "fax_number": "240-215-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 KEY PKWY STE 102",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024496",
            "telephone_number": "240-215-1138",
            "fax_number": "240-215-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGYEKUM",
        "first_name": "FESTUS",
        "middle_name": "ADDO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.