NPIMap

Organization Active NPI

Carroll Health Group, LLC

  • Internal Medicine Physician
  • Eldersburg, MD
National Provider Identifier
1619764834
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CARROLL HEALTH GROUP, LLC
Practice address
1380 Progress Way Ste 107
Eldersburg, MD 21784-6498
Phone
(410) 443-2893
NPI assigned
Apr 22, 2025
Last updated
Mar 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Michael Myers
Title
Cfo CHC
Phone
(410) 871-6114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1380 Progress Way Ste 107
Eldersburg, MD 21784-6498

Mailing address

PO Box 45962
Baltimore, MD 21297-5962
Phone (410) 469-4269

Other names 1

  • Carroll Health Group at 1380 Progress Way, Ste 107 Other name

National Provider Directory

National Provider Directory
Tax ID family
Carroll Health Group LLC31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1619764834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45962",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212975962",
            "telephone_number": "410-469-4269",
            "fax_number": "410-469-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 PROGRESS WAY STE 107",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846498",
            "telephone_number": "410-443-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-22",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO CHC",
        "authorized_official_telephone_number": "410-871-6114"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carroll Health Group at 1380 Progress Way, Ste 107",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eldersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.