Primary Care of Maryland Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIMARY CARE OF MARYLAND PROFESSIONAL CORPORATION

Practice address

1300 York Rd Ste 190D
Lutherville Timonium, MD 21093-6016

Phone

(443) 288-5206

Fax

(443) 288-5205

NPI assigned

Nov 29, 2023

Last updated

Sep 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Greg Victor Igot TampusNPI 1356679138

Title

Owner

Phone

(410) 248-0661

Specialties & licenses 2

Addresses

Other names 1

• Primary Care of Maryland PC Other name

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Tax ID family

Mental Care of Maryland PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Primary Care of Maryland Professional Corporation

  dba Mental Care of Maryland PC

  • Adult Mental Health Clinic/Center
  • Lutherville Timonium, MD
  • NPI 1194592220
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Greg Victor Igot Tampus, MD

  • Family Medicine Physician
  • Lutherville Timonium, MD
  • NPI 1356679138
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1841066073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 YORK RD STE 190D",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210936016",
            "telephone_number": "443-288-5206",
            "fax_number": "443-288-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 YORK RD STE 190D",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210936016",
            "telephone_number": "443-288-5206",
            "fax_number": "443-288-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE OF MARYLAND PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "TAMPUS",
        "authorized_official_first_name": "GREG VICTOR",
        "authorized_official_middle_name": "IGOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-248-0661"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care of Maryland PC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Primary Care of Maryland PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eugene Anthony Pometto Jr., LCPC, NBCCH
• Tamara Boyd Pottillo
• Ya-Roni Monique Prather, RN
• Premier Surgery Partners (ChoicePlus Health Care)
• Primary Care of Maryland Professional Corporation (Mental Care of Maryland PC)
• Privia Medical Group, LLC
• Protelix Health Clinic
• Protelix Health Clinic LLC
• Grace Olivia Putz
• Tanya Justyne Quille, PH.D.

• Internal Medicine Physician in Lutherville Timonium, MD
• Providers in Lutherville Timonium, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.