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PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
NPI 1366057523
Health Educator in Clinton, MD

Active since September 14, 2020
9314 PISCATAWAY RD, CLINTON, MD 20735(301) 883-7879 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 16, 2025, Dec 23, 2020, Sep 14, 2020 (3 updates tracked since 2020).

About Prince George's County Health Department NPPES

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

PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT (NPI 1366057523) is a healthcare organization registered as a health educator in Clinton, Maryland and active in the NPI registry since September 2020. The organization lists Tamala Vicks, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1366057523
Entity TypeOrganization
Primary Taxonomy174H00000X
Legal Business NamePRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Location Address9314 PISCATAWAY RDClinton, MD 20735-3630
Mailing Address1701 Mccormick Dr # 120Largo, MD 20774-5329 · (301) 883-7822 · Fax (301) 883-7890
Phone(301) 883-7879
Organization SubpartNo
Authorized OfficialTamala VicksCredentialing Specialist · (301) 883-7822
Enumeration DateSeptember 14, 2020
Last NPPES UpdateDecember 16, 20253 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1366057523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHealth EducatorOther Service Providers
Taxonomy Code174H00000X
Definition
Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.
9314 PISCATAWAY RD, Clinton, MD 20735
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Other Names 1

Other NamePrince George's County Health Dept-diabetes Prev Pgm

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Prince George's County Health Department is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Prince George's County Health Department, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Yolanda Taylor-Watson, NP-C
Nurse Practitioner
NPI 1306235395
3003 HOSPITAL DR
Cheverly, MD 20785
(301) 583-3340
✔ PECOS✔ Accepts Medicare12 mi
Arleen Faulkner, LCPC
Mental Health Counselor
NPI 1104167691
4307 57TH AVE APT T1
Bladensburg, MD 20710
(301) 356-3271
✔ PECOS13 mi
Tramaine Davis, M.D.
Family Practice
NPI 1730490186
15459 ANNAPOLIS RD
Bowie, MD 20715
(240) 544-0676
✔ PECOS✔ Accepts Medicare18 mi
Courtney Reed, FNP-BC
Nurse Practitioner
NPI 1841718624
900 CATON AVE # 081
Baltimore, MD 21229
(443) 703-3200
✔ PECOS✔ Accepts Medicare38 mi

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 Prince George's County Health Department's NPI number?

The NPI number for Prince George's County Health Department is 1366057523. It was assigned to this organization in the NPPES registry on September 14, 2020. The provider is also known as Prince George's County Health Dept-Diabetes Prev Pgm.

Where is Prince George's County Health Department located?

Prince George's County Health Department is located at 9314 Piscataway Rd, Clinton, MD 20735. The listed phone number is (301) 883-7879.

What is Prince George's County Health Department's specialty?

The primary specialty registered for this NPI is Health Educator with taxonomy code 174H00000X.

Is Prince George's County Health Department enrolled in Medicare?

Yes. Prince George's County Health Department is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prince George's County Health Department?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Prince George's County Health Department, in Family Practice, Mental Health Counselor and Nurse Practitioner. 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 Prince George's County Health Department was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.