CROFTON FAMILY PRACTICE
NPI 1124531702
Family Medicine in Crofton, MD

Active since November 06, 2017CLIA 21D0215484 · Accreditation
1684 VILLAGE GRN LOWR LEVEL, CROFTON, MD 21114(410) 721-3822(410) 451-0960 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2024, Apr 30, 2019, Jul 25, 2018 and 1 more (4 updates tracked since 2017).

About Crofton Family Practice NPPES

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

CROFTON FAMILY PRACTICE (NPI 1124531702) is a healthcare organization registered as a family medicine in Crofton, Maryland and active in the NPI registry since November 2017. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Allison N Williams, Owner Employee, as its authorized official.

NPPES Registry Identity

NPI1124531702
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVILLAGE GREEN PRIMARY CARE, LLC
Location Address1684 VILLAGE GRN LOWR LEVELCrofton, MD 21114-2059
Mailing Address1684 Village Grn Lowr LevelCrofton, MD 21114-2059 · (410) 721-3822 · Fax (410) 451-0960
Fax(410) 451-0960
Organization SubpartNo
Authorized OfficialAllison N WilliamsOwner Employee · (410) 721-3822
Enumeration DateNovember 6, 2017
Last NPPES UpdateDecember 3, 20244 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
NPI 1124531702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MD · D0061041
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.
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
1684 VILLAGE GRN LOWR LEVEL, Crofton, MD 21114

Other Names 1

Doing Business AsCrofton Family Practice

Other Identifiers 1

Other1455745077MD · Npi

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 Accreditation 21D0215484

Crofton Family Practice · Crofton, MD
Active · expires Dec 22, 2027
CLIA Number21D0215484
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorAllison Williams
Laboratory Phone(410) 721-3822
Laboratory LocationCrofton Family Practice1684 Village Green, Crofton, MD 21114
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

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

Family Medicine
1684 VILLAGE GRN LOWR LEVEL
CROFTON, MD 21114

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 Village Green Primary Care, LLC's NPI number?

The NPI number for Village Green Primary Care, LLC is 1124531702. It was assigned to this organization in the NPPES registry on November 6, 2017. The provider is doing business as Crofton Family Practice.

Where is Village Green Primary Care, LLC located?

Village Green Primary Care, LLC is located at 1684 Village Grn Lowr Level, Crofton, MD 21114. The listed phone number is (410) 721-3822.

What is Village Green Primary Care, LLC's specialty?

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

Does Village Green Primary Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 21D0215484) is associated with this NPI, valid through December 22, 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 Village Green Primary Care, LLC was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.