Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

FREDERICK PRIMARY CARE ASSOCIATES, P.A.
NPI 1124845797
Family Medicine in Jefferson, MD

Q: What is Frederick Primary Care Associates, P.A.'s specialty?

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

Active since September 24, 2024CLIA Certified · 2 labs

4014 MOUNTVILLE RD, JEFFERSON, MD 21755(301) 834-7188 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2025, Nov 4, 2024, Sep 24, 2024 (3 updates tracked since 2024).

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About Frederick Primary Care Associates, P.a. NPPES

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

FREDERICK PRIMARY CARE ASSOCIATES, P.A. (NPI 1124845797) is a healthcare organization registered as a family medicine in Jefferson, Maryland and active in the NPI registry since September 2024. The organization holds 2 active CLIA laboratory certificates and lists Scott R Lilly, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124845797

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameFREDERICK PRIMARY CARE ASSOCIATES, P.A.

Location Address4014 MOUNTVILLE RDJefferson, MD 21755-7713

Mailing Address610 Solarex CtFrederick, MD 21703-8624

Phone(301) 834-7188

Organization SubpartYes

Authorized OfficialScott R LillyCeo · (301) 663-6162

Enumeration DateSeptember 24, 2024

Last NPPES UpdateJune 23, 20263 updates tracked since enumeration

NPPES CertifiedJune 23, 2026

✔ NPI 1124845797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

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 ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

4014 MOUNTVILLE RD, Jefferson, MD 21755

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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

CLIA Laboratory Certificates CMS CLIA 2

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 for Provider-Performed Microscopy Procedures (PPMP) 21D0220867

Frederick Primary Care Associates · Jefferson, MD

Active · expires Jan 21, 2028

CLIA Number21D0220867

Laboratory TypePhysician Office

Certificate Effective DateJanuary 22, 2026

Certificate Expiration DateJanuary 21, 2028

Laboratory DirectorJ Christopher Fleming MD

Laboratory Phone(301) 473-5848

Laboratory LocationFrederick Primary Care Associates4014 Mountville Rd, Jefferson, MD 21755

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D0220666

Frederick Primary Care Associates · Brunswick, MD

Active · expires Oct 6, 2026

CLIA Number21D0220666

Laboratory TypePhysician Office

Certificate Effective DateOctober 7, 2024

Certificate Expiration DateOctober 6, 2026

Laboratory DirectorJ Christopher Fleming MD

Laboratory Phone(301) 834-7188

Laboratory LocationFrederick Primary Care Associates610 9th Ave, Brunswick, MD 21716

CLIA data matches this NPI record on: Name Phone

Other Providers at the Same Location NPPES 2

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

JOSEPH LAMENDOLA

Social Worker

4014 MOUNTVILLE RD
JEFFERSON, MD 21755

Frederick County (240) 986-1001

PRIVIA MEDICAL GROUP, LLC

Family Medicine

4014 MOUNTVILLE RD
JEFFERSON, MD 21755

Frederick County (301) 834-7188

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 Frederick Primary Care Associates, P.A.'s NPI number?

The NPI number for Frederick Primary Care Associates, P.A. is 1124845797. It was assigned to this organization in the NPPES registry on September 24, 2024.

Where is Frederick Primary Care Associates, P.A. located?

Frederick Primary Care Associates, P.A. is located at 4014 Mountville Rd, Jefferson, MD 21755. The listed phone number is (301) 834-7188.

What is Frederick Primary Care Associates, P.A.'s specialty?

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

Does Frederick Primary Care Associates, P.A. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Frederick Primary Care Associates, P.A. was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.