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SPENCER FAMILY PRACTICE LLC
NPI 1568032464
Family Medicine in Glenn Dale, MD

Active since July 01, 2021CLIA 21D2241426 · Waiver
8061 SPRINGFIELD RD, GLENN DALE, MD 20769(434) 390-6641(240) 206-3855 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Spencer Family Practice Llc NPPES

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

SPENCER FAMILY PRACTICE LLC (NPI 1568032464) is a healthcare organization registered as a family medicine in Glenn Dale, Maryland and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through October 27, 2027 and lists Mary L Spencer, Ceo/ Owner, as its authorized official.

NPPES Registry Identity

NPI1568032464
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSPENCER FAMILY PRACTICE LLC
Location Address8061 SPRINGFIELD RDGlenn Dale, MD 20769-9605
Mailing Address8061 Springfield RdGlenn Dale, MD 20769-9605 · (434) 390-6641 · Fax (240) 206-3855
Phone(434) 390-6641
Fax(240) 206-3855
Organization SubpartNo
Authorized OfficialMary L SpencerCeo/ Owner · (434) 390-6641
Enumeration DateJuly 1, 2021
NPPES CertifiedJune 25, 2021
✔ NPI 1568032464 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.
8061 SPRINGFIELD RD, Glenn Dale, MD 20769
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Other Identifiers 1

Medicaid225826900MD

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

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 21D2241426

Spencer Family Practice · Glenn Dale, MD
Active · expires Oct 27, 2027
CLIA Number21D2241426
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorMary L. Spencer
Laboratory Phone(434) 390-6641
Laboratory LocationSpencer Family Practice8061 Springfield Road, Glenn Dale, MD 20769
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MARY SPENCER FNP
Nurse Practitioner (Family)
8061 SPRINGFIELD RD
GLENN DALE, MD 20769
Prince George's County (434) 390-6641

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 Spencer Family Practice LLC's NPI number?

The NPI number for Spencer Family Practice LLC is 1568032464. It was assigned to this organization in the NPPES registry on July 1, 2021.

Where is Spencer Family Practice LLC located?

Spencer Family Practice LLC is located at 8061 Springfield Rd, Glenn Dale, MD 20769. The listed phone number is (434) 390-6641.

What is Spencer Family Practice LLC's specialty?

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

Does Spencer Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2241426) is associated with this NPI, valid through October 27, 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 Spencer Family Practice LLC was last updated on July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.