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

Active since January 03, 2012
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: October 18, 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 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wills Medical Group Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wills Medical Group PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1457462806
14310 OLD MARLBORO PIKE
Upper Marlboro, MD 20772
(301) 627-1448
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Wills Medical Group PC enrolled in Medicare?

Yes. Wills Medical Group PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wills Medical Group PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Wills Medical Group PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.