NPIMap

Organization Active NPI

Specialty Physicians of Garrett County, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grantsville, MD
National Provider Identifier
1881361442
Registry record updated Aug 23, 2021
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
Practice address
32 Corporate Dr
Grantsville, MD 21536-1259
Phone
(301) 895-8750
Fax
(301) 895-8751
NPI assigned
Aug 23, 2021
Last updated
Aug 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Authorized official

Name
Tracy Lipscomb, CPA, CHFP
Title
SVP, 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

32 Corporate Dr
Grantsville, MD 21536-1259

Mailing address

PO Box 594
Oakland, MD 21550-4594
Phone (301) 533-4171

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.

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

500 Greene St
Cumberland, MD 21502
Phone (301) 724-7616

250 Maple St
Friendsville, MD 21531
Phone (301) 746-4160

922 National Hwy
Ste 2
Lavale, MD 21502
Phone (240) 362-7294

69 Wolf Acres Dr
Oakland, MD 21550
Phone (301) 334-4400

880 Memorial Dr
Oakland, MD 21550
Phone (301) 334-4041

Practitioners & affiliated clinicians

Practitioners 101

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 101

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1881361442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 594",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504594",
            "telephone_number": "301-533-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CORPORATE DR",
            "city": "GRANTSVILLE",
            "state": "MD",
            "postal_code": "215361259",
            "telephone_number": "301-895-8750",
            "fax_number": "301-895-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY PHYSICIANS OF GARRETT COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "LIPSCOMB",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "SVP, 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": []
}

Other providers in Grantsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.