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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

FREDERICK PRIMARY CARE ASSOCIATES, P.A.
NPI 1528885191
Family Medicine in Walkersville, MD

Active since September 24, 2024CLIA 21D0859205 · Microscopy
19 W FREDERICK ST, WALKERSVILLE, MD 21793(301) 845-6336 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2025, Nov 4, 2024, Sep 24, 2024 (3 updates tracked since 2024).

About Frederick Primary Care Associates, P.a. NPPES

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

FREDERICK PRIMARY CARE ASSOCIATES, P.A. (NPI 1528885191) is a healthcare organization registered as a family medicine in Walkersville, Maryland and active in the NPI registry since September 2024. The organization holds a CLIA Microscopy certificate valid through January 9, 2028 and lists Scott R Lilly, Ceo, as its authorized official.

NPPES Registry Identity

NPI1528885191
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFREDERICK PRIMARY CARE ASSOCIATES, P.A.
Location Address19 W FREDERICK STWalkersville, MD 21793-8230
Mailing Address610 Solarex CtFrederick, MD 21703-8624
Phone(301) 845-6336
Organization SubpartYes
Authorized OfficialScott R LillyCeo · (301) 663-6162
Enumeration DateSeptember 24, 2024
Last NPPES UpdateJune 23, 20263 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1528885191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.
Also ListedAcupuncturistTaxonomy 171100000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
19 W FREDERICK ST, Walkersville, MD 21793
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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

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) 21D0859205

Frederick Primary Care Associates PA · Walkersville, MD
Active · expires Jan 9, 2028
CLIA Number21D0859205
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2026
Certificate Expiration DateJanuary 9, 2028
Laboratory DirectorRichard L. Gough MD
Laboratory Phone(301) 845-6336
Laboratory LocationFrederick Primary Care Associates PA19 W Frederick Street P O Box 328, Walkersville, MD 21793
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 6

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

VIRGINIA C WILEY M.D.
Family Medicine
19 W FREDERICK ST
WALKERSVILLE, MD 21793
Frederick County (301) 845-6336
LAUREN R. HECKHAUS PA-C
Physician Assistant
19 W FREDERICK ST
WALKERSVILLE, MD 21793
Frederick County (301) 846-6336
KAYTE LYNN NUSBAUM
Registered Nurse (Lactation Consultant)
19 W FREDERICK ST
WALKERSVILLE, MD 21793
Frederick County (301) 845-6336
RICHARD L GOUGH M.D.
Family Medicine
19 W FREDERICK ST
WALKERSVILLE, MD 21793
Frederick County (301) 845-6336
MARY THORSEN PT
Physical Therapist
19 W FREDERICK ST
WALKERSVILLE, MD 21793
Frederick County (301) 845-0045
PRIVIA MEDICAL GROUP, LLC
Family Medicine
19 W FREDERICK ST
WALKERSVILLE, MD 21793
Frederick County (301) 845-6336

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 Frederick Primary Care Associates, P.A.'s NPI number?

The NPI number for Frederick Primary Care Associates, P.A. is 1528885191. It was assigned to this organization in the NPPES registry on September 24, 2024.

Where is Frederick Primary Care Associates, P.A. located?

Frederick Primary Care Associates, P.A. is located at 19 W Frederick St, Walkersville, MD 21793. The listed phone number is (301) 845-6336.

What is Frederick Primary Care Associates, P.A.'s specialty?

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

Does Frederick Primary Care Associates, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D0859205) is associated with this NPI, valid through January 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Frederick Primary Care Associates, P.A. was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 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.