VIVIS FAMILY MEDICINE LLC
NPI 1174237200
Clinic/Center - Primary Care in Upper Marlboro, MD
About Vivis Family Medicine Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIVIS FAMILY MEDICINE LLC (NPI 1174237200) is a healthcare organization registered as a primary care in Upper Marlboro, Maryland and active in the NPI registry since January 2023. The organization lists Hedwig Manga Williams, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vivis Family Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Vivis Family Medicine LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 Vivis Family Medicine LLC's NPI number?
The NPI number for Vivis Family Medicine LLC is 1174237200. It was assigned to this organization in the NPPES registry on January 12, 2023.
Where is Vivis Family Medicine LLC located?
Vivis Family Medicine LLC is located at 3606 Chancelsors Dr, Upper Marlboro, MD 20772. The listed phone number is (240) 687-4317.
What is Vivis Family Medicine LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Vivis Family Medicine LLC enrolled in Medicare?
Yes. Vivis Family Medicine LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vivis Family Medicine LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Vivis Family Medicine 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Vivis Family Medicine LLC was last updated on January 12, 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.
# Vivis Family Medicine Llc · NPI 1174237200
Primary Care organization in Upper Marlboro, Maryland. Organization record, active in the CMS NPPES registry since January 12, 2023.
## Identity
- **NPI:** 1174237200 (Entity type: Organization)
- **Enumerated:** January 12, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Hedwig Manga Williams, PROVIDER
## Practice location
- **Address:** 3606 CHANCELSORS DR, Upper Marlboro, MD 20772-8194
- **Phone:** (240) 687-4317 · **Fax:** (218) 264-3428
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1174237200) · Data from the CMS NPPES public registry.