NPIMap

Organization Active NPI

Frederick Primary Care Associates, P.a.

  • Family Medicine Physician
  • Woodsboro, MD
National Provider Identifier
1811724099
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FREDERICK PRIMARY CARE ASSOCIATES, P.A.
Practice address
10200 Coppermine Rd
Woodsboro, MD 21798-8319
Phone
(301) 898-0618
NPI assigned
Sep 19, 2024
Last updated
Jun 23, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
FREDERICK PRIMARY CARE ASSOCIATES, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Mr. Scott R Lilly
Title
Ceo
Phone
(301) 663-6162

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU

Addresses

Primary practice location

10200 Coppermine Rd
Woodsboro, MD 21798-8319

Mailing address

610 Solarex CT
Frederick, MD 21703-8624

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0221005Frederick Primary Care Associates10200 Coppermine Road, Woodsboro, MD 21798Certificate of waiverFeb 27, 2028

National Provider Directory

National Provider Directory
Tax ID family
Frederick Primary Care Associates PA11 organizations share this tax ID, including this one
Part of
Frederick Primary Care Associates PA

Other organizations with this tax ID 10

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1811724099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SOLAREX CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217038624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 COPPERMINE RD",
            "city": "WOODSBORO",
            "state": "MD",
            "postal_code": "217988319",
            "telephone_number": "301-898-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK PRIMARY CARE ASSOCIATES, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREDERICK PRIMARY CARE ASSOCIATES, P.A.",
        "enumeration_date": "2024-09-19",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "LILLY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-663-6162",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodsboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.