PRIMARY CARE ASSOCIATES OF HAGERSTOWN, LLC
NPI 1083803530
Internal Medicine in Hagerstown, MD

Active since October 22, 2007CLIA 21D0220760 · Waiver
354 MILL ST, HAGERSTOWN, MD 21740(301) 797-0210(301) 791-6514 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Primary Care Associates Of Hagerstown, Llc NPPES

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

PRIMARY CARE ASSOCIATES OF HAGERSTOWN, LLC (NPI 1083803530) is a healthcare organization registered as an internal medicine in Hagerstown, Maryland and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through June 19, 2027 and lists Christine A Feathers, Partner, as its authorized official.

NPPES Registry Identity

NPI1083803530
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRIMARY CARE ASSOCIATES OF HAGERSTOWN, LLC
Location Address354 MILL STHagerstown, MD 21740-6138
Mailing Address354 Mill StHagerstown, MD 21740-6138 · (301) 797-0210 · Fax (301) 791-6514
Fax(301) 791-6514
Organization SubpartNo
Authorized OfficialChristine A FeathersPartner · (301) 797-0210
Enumeration DateOctober 22, 2007
Last NPPES UpdateMarch 14, 2022
NPPES CertifiedMarch 14, 2022
✔ NPI 1083803530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · R100668
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
354 MILL ST, Hagerstown, MD 21740

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Primary Care Associates Of Hagerstown, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Primary Care Associates Of Hagerstown, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1285635243
354 MILL ST
Hagerstown, MD 21740
(301) 797-0210
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1750572012
354 MILL ST
Hagerstown, MD 21740
(301) 797-0210
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1730767302
354 MILL ST
Hagerstown, MD 21740
(301) 797-0210
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1639979453
354 MILL ST
Hagerstown, MD 21740
(301) 797-0210
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1447069471
333 LAIDLEY ST
Charleston, WV 25301
(304) 347-6530
✔ PECOS✔ Accepts Medicare228 mi

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

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 21D0220760

Primary Care Associates Of Hagerstown, LLC · Hagerstown, MD
Active · expires Jun 19, 2027
CLIA Number21D0220760
Laboratory TypePhysician Office
Certificate Effective DateJune 20, 2025
Certificate Expiration DateJune 19, 2027
Laboratory DirectorEver Ponciano
Laboratory Phone(301) 797-0210
Laboratory LocationPrimary Care Associates Of Hagerstown, LLC354 Mill Street, Hagerstown, MD 21740
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Primary Care Associates Of Hagerstown, LLC's NPI number?

The NPI number for Primary Care Associates Of Hagerstown, LLC is 1083803530. It was assigned to this organization in the NPPES registry on October 22, 2007.

Where is Primary Care Associates Of Hagerstown, LLC located?

Primary Care Associates Of Hagerstown, LLC is located at 354 Mill St, Hagerstown, MD 21740. The listed phone number is (301) 797-0210.

What is Primary Care Associates Of Hagerstown, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Primary Care Associates Of Hagerstown, LLC enrolled in Medicare?

Yes. Primary Care Associates Of Hagerstown, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Primary Care Associates Of Hagerstown, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Primary Care Associates Of Hagerstown, LLC. 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. The largest specialties are Nurse Practitioner (4) and Internal Medicine (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Primary Care Associates Of Hagerstown, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0220760) is associated with this NPI, valid through June 19, 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 Primary Care Associates Of Hagerstown, LLC was last updated on March 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.