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VIVIS FAMILY MEDICINE LLC
NPI 1174237200
Clinic/Center - Primary Care in Upper Marlboro, MD

Active since January 12, 2023
3606 CHANCELSORS DR, UPPER MARLBORO, MD 20772(240) 687-4317(218) 264-3428 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1174237200
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameVIVIS FAMILY MEDICINE LLC
Location Address3606 CHANCELSORS DRUpper Marlboro, MD 20772-8194
Mailing Address3606 Chancelsors DrUpper Marlboro, MD 20772-8194 · (240) 687-4317 · Fax (218) 264-3428
Phone(240) 687-4317
Fax(218) 264-3428
Organization SubpartNo
Authorized OfficialHedwig Manga WilliamsProvider · (240) 605-5215
Enumeration DateJanuary 12, 2023
NPPES CertifiedJanuary 12, 2023
✔ NPI 1174237200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3606 CHANCELSORS DR, Upper Marlboro, MD 20772
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Other Providers at the Same Location NPPES

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

VIVIS FAMILY MEDICINE LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
3606 CHANCELSORS DR
UPPER MARLBORO, MD 20772
Prince George's County (240) 605-5215

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.

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.