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WILLS MEDICAL GROUP PC
NPI 1053681460
Family Medicine in Upper Marlboro, MD

Active since January 03, 2012CLIA 21D0210948 · Waiver
14310 OLD MARLBORO PIKE, UPPER MARLBORO, MD 20772(301) 627-1448(301) 627-5010 Get Directions Write a Review

NPPES record last updated: April 20, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wills Medical Group Pc NPPES

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

WILLS MEDICAL GROUP PC (NPI 1053681460) is a healthcare organization registered as a family medicine in Upper Marlboro, Maryland and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists John H Wills, Owner, as its authorized official.

NPPES Registry Identity

NPI1053681460
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWILLS MEDICAL GROUP PC
Location Address14310 OLD MARLBORO PIKEUpper Marlboro, MD 20772-2840
Mailing Address14310 Old Marlboro PikeUpper Marlboro, MD 20772-2840 · (301) 627-1448 · Fax (301) 627-5010
Phone(301) 627-1448
Fax(301) 627-5010
Organization SubpartNo
Authorized OfficialJohn H WillsOwner · (301) 627-1448
Enumeration DateJanuary 3, 2012
Last NPPES UpdateApril 20, 2012
✔ NPI 1053681460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D0050389
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
14310 OLD MARLBORO PIKE, Upper Marlboro, MD 20772
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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 21D0210948

Wills Medical Group, PC John H. Wills, M.D. · Upper Marlboro, MD
Active · expires Aug 31, 2026
CLIA Number21D0210948
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJohn H. Wills
Laboratory Phone(301) 627-1448
Laboratory LocationWills Medical Group, PC John H. Wills, M.D.14310 Old Marlboro Pke, Upper Marlboro, MD 20772
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. JOHN HERMAN WILLS M.D.
Family Medicine
14310 OLD MARLBORO PIKE
UPPER MARLBORO, MD 20772
Prince George's County (301) 627-1448

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 Wills Medical Group PC's NPI number?

The NPI number for Wills Medical Group PC is 1053681460. It was assigned to this organization in the NPPES registry on January 3, 2012.

Where is Wills Medical Group PC located?

Wills Medical Group PC is located at 14310 Old Marlboro Pike, Upper Marlboro, MD 20772. The listed phone number is (301) 627-1448.

What is Wills Medical Group PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Wills Medical Group PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0210948) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wills Medical Group PC was last updated on April 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.