FAMILY PREVENTIVE CARE WELLNESS CENTER LLC
NPI 1508642901
Clinic/Center - Primary Care in Ellicott City, MD
About Family Preventive Care Wellness Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY PREVENTIVE CARE WELLNESS CENTER LLC (NPI 1508642901) is a healthcare organization registered as a primary care in Ellicott City, Maryland and active in the NPI registry since September 2023. The organization lists Ava Williams, Founder/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Family Preventive Care Wellness 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 Family Preventive Care Wellness Center LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Family Preventive Care Wellness Center LLC's NPI number?
The NPI number for Family Preventive Care Wellness Center LLC is 1508642901. It was assigned to this organization in the NPPES registry on September 1, 2023.
Where is Family Preventive Care Wellness Center LLC located?
Family Preventive Care Wellness Center LLC is located at 3237A Corporate Ct, Ellicott City, MD 21042. The listed phone number is (443) 378-9971.
What is Family Preventive Care Wellness Center LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Family Preventive Care Wellness Center LLC enrolled in Medicare?
Yes. Family Preventive Care Wellness Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family Preventive Care Wellness Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Family Preventive Care Wellness 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.
When was this NPI record last updated?
The NPPES record for Family Preventive Care Wellness Center LLC was last updated on September 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.
# Family Preventive Care Wellness Center Llc · NPI 1508642901
Primary Care organization in Ellicott City, Maryland. Organization record, active in the CMS NPPES registry since September 1, 2023.
## Identity
- **NPI:** 1508642901 (Entity type: Organization)
- **Enumerated:** September 1, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Ava Williams, FOUNDER/OWNER
## Practice location
- **Address:** 3237A CORPORATE CT, Ellicott City, MD 21042-2247
- **Phone:** (443) 378-9971
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1508642901) · Data from the CMS NPPES public registry.