Active NPI
Primary Pediatrics
- Pediatrics Physician
- Laurel, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- PRIMARY PEDIATRICS
- Practice address
- 9811 Mallard Dr Ste 102
Laurel, MD 20708-3180 - Phone
- (301) 776-8000
- Fax
- (301) 776-8052
- NPI assigned
- Jul 2, 2006
- Last updated
- Nov 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tameka Babb
- Title
- Administrator
- Phone
- (301) 776-8000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
9811 Mallard Dr Ste 102
Laurel, MD 20708-3180
Mailing address
9811 Mallard Dr Ste 102
Laurel, MD 20708-3180
Phone (301) 776-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 910111000 | Medicaid | MD |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D0209944 | Primary Pediatrics Laurel | Certificate of waiver | Sep 1, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Primary Pediatrics
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Adolescent Medicine Physician
- Bowie, MD
- NPI 1588551402
-
- Pediatric Adolescent Medicine Physician
- Silver Spring, MD
- NPI 1801783725
Locations
12520 Prosperity Dr
Ste 150
Silver Spring, MD 20904
Phone (301) 622-6020
Practitioners & affiliated clinicians
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.
-
- Pediatrics Physician
- Bowie, MD
- NPI 1275513053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762387200000",
"number": "1942239876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9811 MALLARD DR STE 102",
"city": "LAUREL",
"state": "MD",
"postal_code": "207083180",
"telephone_number": "301-776-8000",
"fax_number": "301-776-8052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9811 MALLARD DR STE 102",
"city": "LAUREL",
"state": "MD",
"postal_code": "207083180",
"telephone_number": "301-776-8000",
"fax_number": "301-776-8052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-02",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A",
"authorized_official_last_name": "BABB",
"authorized_official_first_name": "TAMEKA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "301-776-8000"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "910111000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.