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SSV MEDICAL GROUP
NPI 1104526458
Clinic/Center - Primary Care in Clarksburg, MD

Active since March 06, 2023
23202 BREWERS TAVERN WAY, CLARKSBURG, MD 20871(301) 221-0818 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 4, 2023, Mar 6, 2023 (2 updates tracked since 2023).

About Ssv Medical Group NPPES

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

SSV MEDICAL GROUP (NPI 1104526458) is a healthcare organization registered as a primary care in Clarksburg, Maryland and active in the NPI registry since March 2023. The organization lists Shelly Valliath, Founder, as its authorized official.

NPPES Registry Identity

NPI1104526458
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSSV MEDICAL GROUP
Location Address23202 BREWERS TAVERN WAYClarksburg, MD 20871-4391
Mailing Address23202 Brewers Tavern WayClarksburg, MD 20871-4391 · (301) 221-0818
Phone(301) 221-0818
Organization SubpartNo
Authorized OfficialShelly ValliathFounder · (301) 221-0818
Enumeration DateMarch 6, 2023
Last NPPES UpdateApril 4, 20232 updates tracked since enumeration
NPPES CertifiedApril 4, 2023
✔ NPI 1104526458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
23202 BREWERS TAVERN WAY, Clarksburg, MD 20871
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Other Providers at the Same Location NPPES 5

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

PRESTIGE PHYSICAL THERAPY LLC
Specialist
23202 BREWERS TAVERN WAY
CLARKSBURG, MD 20871
Montgomery County (240) 207-3090
CLARKSBURG DERMATOLOGY AND SKINCARE LLC
Nurse Practitioner
23202 BREWERS TAVERN WAY
CLARKSBURG, MD 20871
Montgomery County (301) 298-1818
PERIDOT PRIMARY CARE, LLC
Nurse Practitioner (Family)
23202 BREWERS TAVERN WAY
CLARKSBURG, MD 20871
Montgomery County (301) 215-2309
MRS. PRINCESS STEPHENSON APRN, FNP-C
Nurse Practitioner (Family)
23202 BREWERS TAVERN WAY
CLARKSBURG, MD 20871
Montgomery County (301) 298-9919
CLARKSBURG EYE CARE, LLC
Optometrist
23202 BREWERS TAVERN WAY
CLARKSBURG, MD 20871
Montgomery County (301) 972-3937

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 Ssv Medical Group's NPI number?

The NPI number for Ssv Medical Group is 1104526458. It was assigned to this organization in the NPPES registry on March 6, 2023.

Where is Ssv Medical Group located?

Ssv Medical Group is located at 23202 Brewers Tavern Way, Clarksburg, MD 20871. The listed phone number is (301) 221-0818.

What is Ssv Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Ssv Medical Group was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.