Organization Active NPI

Advanced Primary Care

  • Primary Care Clinic/Center
  • Fairmount Heights, MD
National Provider Identifier
1629606454
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Apr 15, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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

  • FHIR API: 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.

Verify at the official NPI Registry.