Organization Active NPI

Primary Pediatrics

  • Pediatrics Physician
  • Laurel, MD
National Provider Identifier
1942239876
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
910111000MedicaidMD

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
21D0209944Primary Pediatrics Laurel9811 Mallard Dr Suite 201, Laurel, MD 20708Certificate of waiverSep 1, 2026

National Provider Directory

National Provider Directory
Tax ID family
Primary Pediatrics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

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.

Verify at the official NPI Registry.