FREETOWN FAMILY CLINIC LLC
NPI 1093675613
Nurse Practitioner - Primary Care in Reisterstown, MD

Active since November 15, 2025
100 OWINGS CT STE 8, REISTERSTOWN, MD 21136(443) 653-0459(410) 702-7470 Get Directions Write a Review

NPPES record last updated: November 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Freetown Family Clinic Llc NPPES

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

FREETOWN FAMILY CLINIC LLC (NPI 1093675613) is a healthcare organization registered as a primary care in Reisterstown, Maryland and active in the NPI registry since November 2025. The organization lists Gibrilla Sannoh, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1093675613
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameFREETOWN FAMILY CLINIC LLC
Location Address100 OWINGS CT STE 8Reisterstown, MD 21136-3045
Mailing Address4 Shasta Cir Apt FOwings Mills, MD 21117-3720 · (443) 653-0459
Fax(410) 702-7470
Organization SubpartNo
Authorized OfficialGibrilla SannohMedical Director · (443) 653-0459
Enumeration DateNovember 15, 2025
NPPES CertifiedNovember 15, 2025
✔ NPI 1093675613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
100 OWINGS CT STE 8, Reisterstown, MD 21136

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)

Freetown Family Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Freetown Family Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1982444279
100 OWINGS CT STE 8
Reisterstown, MD 21136
(443) 653-0459
✔ PECOSSame address
Nurse Practitioner
NPI 1528786126
7131 LIBERTY RD STE 100
Gwynn Oak, MD 21207
(443) 200-5338
✔ PECOS8.1 mi

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 Freetown Family Clinic LLC's NPI number?

The NPI number for Freetown Family Clinic LLC is 1093675613. It was assigned to this organization in the NPPES registry on November 15, 2025.

Where is Freetown Family Clinic LLC located?

Freetown Family Clinic LLC is located at 100 Owings Ct Ste 8, Reisterstown, MD 21136. The listed phone number is (443) 653-0459.

What is Freetown Family Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Freetown Family Clinic LLC enrolled in Medicare?

Yes. Freetown Family Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Freetown Family Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Freetown Family Clinic 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Freetown Family Clinic LLC was last updated on November 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.