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PREMIER MEDICAL GROUP OF MARYLAND LLC
NPI 1023791605
Clinic/Center - Primary Care in Columbia, MD

Active since August 09, 2023
10705 CHARTER DR STE 350, COLUMBIA, MD 21044(410) 709-7432 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Premier Medical Group Of Maryland Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER MEDICAL GROUP OF MARYLAND LLC (NPI 1023791605) is a healthcare organization registered as a primary care in Columbia, Maryland and active in the NPI registry since August 2023. The organization lists Mary Fakorede, Md, as its authorized official.

NPPES Registry Identity

NPI1023791605
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePREMIER MEDICAL GROUP OF MARYLAND LLC
Location Address10705 CHARTER DR STE 350Columbia, MD 21044-2995
Mailing Address10705 Charter Dr Ste 350Columbia, MD 21044-2995 · (410) 709-7432 · Fax (410) 862-2592
Phone(410) 709-7432
Organization SubpartNo
Authorized OfficialMary FakoredeMd · (410) 709-7432
Enumeration DateAugust 9, 2023
Last NPPES UpdateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
✔ NPI 1023791605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
10705 CHARTER DR STE 350, Columbia, MD 21044
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Medical Group Of Maryland LLC's NPI number?

The NPI number for Premier Medical Group Of Maryland LLC is 1023791605. It was assigned to this organization in the NPPES registry on August 9, 2023.

Where is Premier Medical Group Of Maryland LLC located?

Premier Medical Group Of Maryland LLC is located at 10705 Charter Dr Ste 350, Columbia, MD 21044. The listed phone number is (410) 709-7432.

What is Premier Medical Group Of Maryland LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Premier Medical Group Of Maryland LLC was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.