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PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
NPI 1558857474
Clinic/Center - Multi-Specialty in Clinton, MD

Active since July 03, 2018
9314 PISCATAWAY RD, CLINTON, MD 20735(301) 856-9400(301) 883-7890 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2020, Jul 3, 2018 (2 updates tracked since 2018).

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 1558857474) is a healthcare organization registered as a multi-specialty in Clinton, Maryland and active in the NPI registry since July 2018. The organization lists Tamala Butler, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1558857474
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Location Address9314 PISCATAWAY RDClinton, MD 20735-3630
Mailing Address1701 Mccormick Dr Ste 120Largo, MD 20774-5329 · (301) 883-7822 · Fax (301) 883-7890
Phone(301) 856-9400
Fax(301) 883-7890
Organization SubpartYes
Authorized OfficialTamala ButlerCredentialing Specialist · (301) 883-7822
Enumeration DateJuly 3, 2018
Last NPPES UpdateSeptember 17, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2020
✔ NPI 1558857474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
9314 PISCATAWAY RD, Clinton, MD 20735
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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 1558857474. It was assigned to this organization in the NPPES registry on July 3, 2018.

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) 856-9400.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

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 September 17, 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.