1. Home
  2. Directory
  3. Pennsylvania
  4. Lancaster
  5. Family Medicine
  6. NPI Profile

WELLSPAN FAMILY MEDICINE-GRANITE RUN
NPI 1184888778
Family Medicine in Lancaster, PA

Active since July 14, 2008CLIA 39D0663973 · Waiver
264 GRANITE RUN DR, LANCASTER, PA 17601(717) 721-8205(717) 721-8251 Get Directions Write a Review

NPPES record last updated: October 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wellspan Family Medicine-granite Run NPPES

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

WELLSPAN FAMILY MEDICINE-GRANITE RUN (NPI 1184888778) is a healthcare organization registered as a family medicine in Lancaster, Pennsylvania and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through December 1, 2027 and lists Charles David Noll, Vice President, as its authorized official.

NPPES Registry Identity

NPI1184888778
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTHERN LANCASTER COUNTY MEDICAL GROUP
Location Address264 GRANITE RUN DRLancaster, PA 17601-6804
Mailing Address264 Granite Run DrLancaster, PA 17601-6804 · (717) 721-8205 · Fax (717) 721-8251
Phone(717) 721-8205
Fax(717) 721-8251
Organization SubpartNo
Authorized OfficialCharles David NollVice President · (717) 859-5161
Enumeration DateJuly 14, 2008
Last NPPES UpdateOctober 15, 2015
✔ NPI 1184888778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD032838L
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.
264 GRANITE RUN DR, Lancaster, PA 17601
Open in Google Maps ↗

Other Names 1

Doing Business AsWellspan Family Medicine-granite Run

Other Identifiers 2

Medicaid1013977730021PA
Medicare PIN092914

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 Waiver 39D0663973

Wellspan Family Med - Granite Run · Lancaster, PA
Active · expires Dec 1, 2027
CLIA Number39D0663973
Laboratory TypePhysician Office
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorDr. James M. Elia
Laboratory Phone(717) 721-8205
Laboratory LocationWellspan Family Med - Granite Run264 Granite Run Drive, Lancaster, PA 17601
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

ALLANA SCARAMASTRA CRNP
Nurse Practitioner
264 GRANITE RUN DR
LANCASTER, PA 17601
Lancaster County (717) 721-8205
DR. JAMES MICHAEL ELIA M.D.
Family Medicine
264 GRANITE RUN DR
LANCASTER, PA 17601
Lancaster County (717) 721-8205
DR. STEPHANIE JO ASHBAUGH M.D.
Family Medicine
264 GRANITE RUN DR
LANCASTER, PA 17601
Lancaster County (717) 721-8205
JESSICA VANETESSE PAC
Physician Assistant (Medical)
264 GRANITE RUN DR
LANCASTER, PA 17601
Lancaster County (717) 721-8205
WELLSPAN MEDICAL GROUP
Family Medicine
264 GRANITE RUN DR
LANCASTER, PA 17601
Lancaster County (717) 721-8205
JENNIFER BRIGHTER M.D.
Family Medicine
264 GRANITE RUN DR
LANCASTER, PA 17601
Lancaster County (717) 721-8205

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 Northern Lancaster County Medical Group's NPI number?

The NPI number for Northern Lancaster County Medical Group is 1184888778. It was assigned to this organization in the NPPES registry on July 14, 2008. The provider is doing business as Wellspan Family Medicine-Granite Run.

Where is Northern Lancaster County Medical Group located?

Northern Lancaster County Medical Group is located at 264 Granite Run Dr, Lancaster, PA 17601. The listed phone number is (717) 721-8205.

What is Northern Lancaster County Medical Group's specialty?

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

Does Northern Lancaster County Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0663973) is associated with this NPI, valid through December 1, 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 Northern Lancaster County Medical Group was last updated on October 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.