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PREMIERE PRIMARY CARE CENTER, LLC
NPI 1205065174
Internal Medicine in Silver Spring, MD

Active since July 13, 2009CLIA 21D2201869 · Waiver
8714 GEORGIA AVE, SILVER SPRING, MD 20910(301) 588-2888(301) 589-2007 Get Directions Write a Review

NPPES record last updated: March 11, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Premiere Primary Care Center, Llc NPPES

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

PREMIERE PRIMARY CARE CENTER, LLC (NPI 1205065174) is a healthcare organization registered as an internal medicine in Silver Spring, Maryland and active in the NPI registry since July 2009. The organization holds a CLIA Waiver certificate valid through November 23, 2026 and lists Adaku Onukogu, President, as its authorized official.

NPPES Registry Identity

NPI1205065174
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePREMIERE PRIMARY CARE CENTER, LLC
Location Address8714 GEORGIA AVESilver Spring, MD 20910-3601
Mailing Address8714 Georgia AveSilver Spring, MD 20910-3601 · (301) 588-2888 · Fax (301) 589-2007
Phone(301) 588-2888
Fax(301) 589-2007
Organization SubpartNo
Authorized OfficialAdaku OnukoguPresident · (301) 588-2888
Enumeration DateJuly 13, 2009
Last NPPES UpdateMarch 11, 2011
✔ NPI 1205065174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0065953
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8714 GEORGIA AVE, Silver Spring, MD 20910
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premiere Primary Care Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Premiere Primary Care Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Adaku Onukogu, MD
Internal Medicine
NPI 1427265958
8714 GEORGIA AVE
Silver Spring, MD 20910
(301) 588-2888
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 21D2201869

Premiere Primary Care Center · Silver Spring, MD
Active · expires Nov 23, 2026
CLIA Number21D2201869
Laboratory TypePhysician Office
Certificate Effective DateNovember 24, 2024
Certificate Expiration DateNovember 23, 2026
Laboratory DirectorDr. Adaku C. Onukogu
Laboratory Phone(301) 588-2888
Laboratory LocationPremiere Primary Care Center8714 Georgia Avenue, Silver Spring, MD 20910
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Premiere Primary Care Center, LLC's NPI number?

The NPI number for Premiere Primary Care Center, LLC is 1205065174. It was assigned to this organization in the NPPES registry on July 13, 2009.

Where is Premiere Primary Care Center, LLC located?

Premiere Primary Care Center, LLC is located at 8714 Georgia Ave, Silver Spring, MD 20910. The listed phone number is (301) 588-2888.

What is Premiere Primary Care Center, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Premiere Primary Care Center, LLC enrolled in Medicare?

Yes. Premiere Primary Care Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premiere Primary Care Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Premiere Primary Care Center, 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.

Does Premiere Primary Care Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2201869) is associated with this NPI, valid through November 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premiere Primary Care Center, LLC was last updated on March 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.