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EVERGREEN ADULT MEDICINE
NPI 1366497372
Family Medicine in Thurmont, MD

Active since May 24, 2006CLIA 39D1046312 · Waiver
20 FREDERICK RD, THURMONT, MD 21788(301) 979-9636(717) 338-9070 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Evergreen Adult Medicine NPPES

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

EVERGREEN ADULT MEDICINE (NPI 1366497372) is a healthcare organization registered as a family medicine in Thurmont, Maryland and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through June 8, 2027 and lists Talbot Smith, President, as its authorized official.

NPPES Registry Identity

NPI1366497372
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAPPLE RIDGE FAMILY MEDICINE
Location Address20 FREDERICK RDThurmont, MD 21788-1809
Mailing Address20 Frederick RdThurmont, MD 21788-1809 · (301) 979-9636 · Fax (717) 338-9070
Phone(301) 979-9636
Fax(717) 338-9070
Organization SubpartNo
Authorized OfficialTalbot SmithPresident · (301) 979-9636
Enumeration DateMay 24, 2006
Last NPPES UpdateJanuary 29, 2024
NPPES CertifiedJanuary 29, 2024
✔ NPI 1366497372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
20 FREDERICK RD, Thurmont, MD 21788
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Other Names 1

Doing Business AsEvergreen Adult Medicine

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)

Evergreen Adult Medicine 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 Evergreen Adult Medicine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Talbot Smith, MD
Family Practice
NPI 1457328551
20 FREDERICK RD
Thurmont, MD 21788
(301) 979-9636
✔ 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 39D1046312

Evergreen Adult Medicine · Thurmont, MD
Active · expires Jun 8, 2027
CLIA Number39D1046312
Laboratory TypePhysician Office
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorDr. Talbot L. Smith
Laboratory Phone(301) 979-9636
Laboratory LocationEvergreen Adult Medicine20 Frederick Rd, Thurmont, MD 21788
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 Apple Ridge Family Medicine's NPI number?

The NPI number for Apple Ridge Family Medicine is 1366497372. It was assigned to this organization in the NPPES registry on May 24, 2006. The provider is doing business as Evergreen Adult Medicine.

Where is Apple Ridge Family Medicine located?

Apple Ridge Family Medicine is located at 20 Frederick Rd, Thurmont, MD 21788. The listed phone number is (301) 979-9636.

What is Apple Ridge Family Medicine's specialty?

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

Is Apple Ridge Family Medicine enrolled in Medicare?

Yes. Apple Ridge Family Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Apple Ridge Family Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Apple Ridge Family Medicine. 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 Apple Ridge Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1046312) is associated with this NPI, valid through June 8, 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 Apple Ridge Family Medicine was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.