Active NPI
Advanced Primary Care
- Primary Care Clinic/Center
- Fairmount Heights, MD
National Provider Identifier
1629606454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- ADVANCED PRIMARY CARE
- Practice address
- 525 Eastern Ave # B2
Fairmount Heights, MD 20743-1677 - Phone
- (301) 970-9677
- NPI assigned
- Mar 28, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nichola Antoinette Patton, NP
- Title
- Owner
- Phone
- (301) 970-9677
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
525 Eastern Ave # B2
Fairmount Heights, MD 20743-1677
Mailing address
6125 Roswell Rd Unit 583
Atlanta, GA 30328-3942
Phone (301) 970-9677
National Provider Directory
National Provider DirectoryLocations
525 Eastern Ave
Unit B2
Fairmount Heights, MD 20743
Phone (678) 852-0729
525 Eastern Ave
#B2
Fairmount Heights, MD 20743
Phone (301) 970-9677
525 Eastern Ave
Unit B
Fairmount Heights, MD 20743
Phone (301) 970-9667
Interoperability endpoints
- https://api.platform.athenahealth.com/26246/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586908800000",
"number": "1629606454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6125 ROSWELL RD UNIT 583",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303283942",
"telephone_number": "301-970-9677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 EASTERN AVE # B2",
"city": "FAIRMOUNT HEIGHTS",
"state": "MD",
"postal_code": "207431677",
"telephone_number": "301-970-9677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED PRIMARY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-28",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A",
"authorized_official_last_name": "PATTON",
"authorized_official_first_name": "NICHOLA",
"authorized_official_middle_name": "ANTOINETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-970-9677",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairmount Heights, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.