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BELMONT FAMILY PRACTICE, INC.
NPI 1033705835
Nurse Practitioner - Psychiatric/Mental Health in Salisbury, MD

Active since December 15, 2020CLIA 21D2208993 · Waiver
1346 BELMONT AVE STE 602, SALISBURY, MD 21804(443) 978-7317(443) 736-4080 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Belmont Family Practice, Inc. NPPES

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

BELMONT FAMILY PRACTICE, INC. (NPI 1033705835) is a healthcare organization registered as a psychiatric/mental health in Salisbury, Maryland and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through January 10, 2027 and lists Donna Marie Gray, President, as its authorized official.

NPPES Registry Identity

NPI1033705835
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBELMONT FAMILY PRACTICE, INC.
Location Address1346 BELMONT AVE STE 602Salisbury, MD 21804-4589
Mailing Address1346 Belmont Ave Ste 602Salisbury, MD 21804-4589 · (443) 978-7317 · Fax (443) 736-4080
Phone(443) 978-7317
Fax(443) 736-4080
Organization SubpartNo
Authorized OfficialDonna Marie GrayPresident · (443) 978-7317
Enumeration DateDecember 15, 2020
NPPES CertifiedDecember 15, 2020
✔ NPI 1033705835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1346 BELMONT AVE STE 602, Salisbury, MD 21804
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2208993

Belmont Family Practice · Salisbury, MD
Active · expires Jan 10, 2027
CLIA Number21D2208993
Laboratory TypePhysician Office
Certificate Effective DateJanuary 11, 2025
Certificate Expiration DateJanuary 10, 2027
Laboratory DirectorDonna M. Gray
Laboratory Phone(443) 978-7317
Laboratory LocationBelmont Family Practice1346 Belmont Ave Suite 602, Salisbury, MD 21804
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BELMONT FAMILY PRACTICE, INC.
Nurse Practitioner (Family)
1346 BELMONT AVE STE 602
SALISBURY, MD 21804
Wicomico County (443) 978-7317
DONNA MARIE GRAY CRNP
Nurse Practitioner (Family)
1346 BELMONT AVE STE 602
SALISBURY, MD 21804
Wicomico County (443) 978-7317
JENNA RAE DICKERSON NP
Nurse Practitioner (Family)
1346 BELMONT AVE STE 602
SALISBURY, MD 21804
Wicomico County (443) 978-7317

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 Belmont Family Practice, Inc.'s NPI number?

The NPI number for Belmont Family Practice, Inc. is 1033705835. It was assigned to this organization in the NPPES registry on December 15, 2020.

Where is Belmont Family Practice, Inc. located?

Belmont Family Practice, Inc. is located at 1346 Belmont Ave Ste 602, Salisbury, MD 21804. The listed phone number is (443) 978-7317.

What is Belmont Family Practice, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does Belmont Family Practice, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2208993) is associated with this NPI, valid through January 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Belmont Family Practice, Inc. was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.