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CENTER FOR PELVIC PAIN
NPI 1265989925
Obstetrics & Gynecology - Gynecology in Annapolis, MD

Active since September 09, 2016CLIA 21D1015579 · Microscopy
130 LUBRANO DR, SUITE 111, ANNAPOLIS, MD 21401(410) 573-1436 Get Directions Write a Review

NPPES record last updated: March 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Center For Pelvic Pain NPPES

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

CENTER FOR PELVIC PAIN (NPI 1265989925) is a healthcare organization registered as a gynecology in Annapolis, Maryland and active in the NPI registry since September 2016. The organization holds a CLIA Microscopy certificate valid through June 22, 2027 and lists Maureen Clancy, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1265989925
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NamePRIVIA MEDICAL GROUP, LLC
Location Address130 LUBRANO DR, SUITE 111Annapolis, MD 21401-7038
Mailing Address950 N Glebe Rd Ste 700Arlington, VA 22203-4173 · (571) 982-6636
Phone(410) 573-1436
Organization SubpartNo
Authorized OfficialMaureen ClancySenior Vice President · (571) 982-6636
Enumeration DateSeptember 9, 2016
Last NPPES UpdateMarch 5, 2020
NPPES CertifiedMarch 5, 2020
✔ NPI 1265989925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
130 LUBRANO DR, Annapolis, MD 21401
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Other Names 1

Other NameCenter For Pelvic Pain

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 for Provider-Performed Microscopy Procedures (PPMP) 21D1015579

Center For Pelvic Pain At Annapolis · Annapolis, MD
Active · expires Jun 22, 2027
CLIA Number21D1015579
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2025
Certificate Expiration DateJune 22, 2027
Laboratory DirectorRichard P. Marvel
Laboratory Phone(410) 573-1436
Laboratory LocationCenter For Pelvic Pain At Annapolis130 Lubrano Drive Ste 111, Annapolis, MD 21401
CLIA data matches this NPI record on: Address Name Phone
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.

Other Providers at the Same Location NPPES 3

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

RICHARD P MARVEL, MD LLC
Obstetrics & Gynecology (Gynecology)
130 LUBRANO DR, SUITE 111
ANNAPOLIS, MD 21401
Anne Arundel County (410) 573-1436
MR. GERARD JANUSZEWSKI L.C.A.D.C.
Counselor (Addiction (Substance Use Disorder))
130 LUBRANO DR, L-19
ANNAPOLIS, MD 21401
Anne Arundel County (410) 980-8957
DR. RICHARD PAUL MARVEL M.D.
Obstetrics & Gynecology (Gynecology)
130 LUBRANO DR, SUITE 111
ANNAPOLIS, MD 21401
Anne Arundel County (410) 573-1436

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 Privia Medical Group, LLC's NPI number?

The NPI number for Privia Medical Group, LLC is 1265989925. It was assigned to this organization in the NPPES registry on September 9, 2016. The provider is also known as Center For Pelvic Pain.

Where is Privia Medical Group, LLC located?

Privia Medical Group, LLC is located at 130 Lubrano Dr Suite 111, Annapolis, MD 21401. The listed phone number is (410) 573-1436.

What is Privia Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Does Privia Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D1015579) is associated with this NPI, valid through June 22, 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 Privia Medical Group, LLC was last updated on March 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.