NPIMap

Organization Active NPI

Specialty Physicians of Garrett County, LLC

Doing business as Health and Wellness Services of Garrett Regional Medical Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oakland, MD
National Provider Identifier
1871065813
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SPECIALTY PHYSICIANS OF GARRETT COUNTY, LLC
Doing business as
Health and Wellness Services of Garrett Regional Medical Center
Practice address
69 Wolf Acres Dr Lowr Level
Oakland, MD 21550-2046
Phone
(301) 533-2190
NPI assigned
Dec 31, 2018
Last updated
Jan 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Authorized official

Name
Tracy Lipscomb, CPA, CHFP
Title
Vice President, Finance & Cfo
Phone
(301) 533-4171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

69 Wolf Acres Dr Lowr Level
Oakland, MD 21550-2046

Mailing address

251 N 4TH St
Oakland, MD 21550-1375
Phone (301) 533-4171

Other practice location 1

251 N 4th St
Oakland, MD 21550-1375
Phone (301) 533-4171

Other names 1

  • Health and Wellness Services of Garrett Regional Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150911000591 MD Part B Supplier - Clinic/Group Practice 5698082436 Receives reassigned benefits from 122 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Oakland, MD; MC Henry, MD; Lavale, MD; Grantsville, MD; Friendsville, MD; Cumberland, MD

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
21D2164333Health and Wellness Services69 Wolf Acres Dr, Oakland, MD 21550Certificate of waiverMay 10, 2028

National Provider Directory

National Provider Directory
Tax ID family
Specialty Physicians of Garrett County LLC22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Locations

69 Wolf Acres Dr
Lowr
Oakland, MD 21550
Phone (301) 334-5151

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1871065813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 N 4TH ST",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501375",
            "telephone_number": "301-533-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 WOLF ACRES DR LOWR LEVEL",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215502046",
            "telephone_number": "301-533-2190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "MD",
            "postal_code": "215501375",
            "country_code": "US",
            "telephone_number": "301-533-4171",
            "fax_number": "301-533-4175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPECIALTY PHYSICIANS OF GARRETT COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-31",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "LIPSCOMB",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "VICE PRESIDENT, FINANCE & CFO",
        "authorized_official_telephone_number": "301-533-4171",
        "authorized_official_credential": "CPA, CHFP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health and Wellness Services of Garrett Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.