Gifted Primary Care LLC
Clinic/Center, Primary Care in Bowie, MD. Organization (NPI-2).
NPI number1689399032
StatusActive
Last updated in NPPESApr 8, 2025
Details
- NPI
- 1689399032
- Entity type
- Organization (NPI-2)
- Legal business name
- Gifted Primary Care LLC
- Organization subpart
- No
- Enumeration date
- Oct 7, 2022
- Certification date
- Oct 7, 2022
- Last updated
- Apr 8, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
3060 Mitchellville RdSte 106a
Bowie, MD 20716
Phone 301-357-1167
Mailing address
3060 Mitchellville RdSte 106a
Bowie, MD 20716
Phone 301-357-1167
Authorized official
Nyediang Ateghang
Manager/Owner
3013571167
Is something wrong?
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