ACKERLY MCBRIDE GROUP PLLC
NPI 1679342554
Internal Medicine in Washington, DC

Active since December 20, 2023CLIA 09D2298227 · Waiver
4910 MASSACHUSETTS AVE NW STE 215, WASHINGTON, DC 20016(202) 953-0990(202) 845-7344 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ackerly Mcbride Group Pllc NPPES

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

ACKERLY MCBRIDE GROUP PLLC (NPI 1679342554) is a healthcare organization registered as an internal medicine in Washington, District Of Columbia and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through January 30, 2028 and lists Samantha Stadnik, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1679342554
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameACKERLY MCBRIDE GROUP PLLC
Location Address4910 MASSACHUSETTS AVE NW STE 215Washington, DC 20016-4368
Mailing Address4910 Massachusetts Ave Nw Ste 215Washington, DC 20016-4368 · (202) 953-0990 · Fax (202) 845-7344
Fax(202) 845-7344
Organization SubpartNo
Authorized OfficialSamantha StadnikDirector Of Operations · (202) 953-0990
Enumeration DateDecember 20, 2023
Last NPPES UpdateFebruary 27, 2025
NPPES CertifiedFebruary 27, 2025
NPI 1679342554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4910 MASSACHUSETTS AVE NW STE 215, Washington, DC 20016

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 09D2298227

Ackerly Macbride Group · Washington, DC
Active · expires Jan 30, 2028
CLIA Number09D2298227
Laboratory TypePhysician Office
Certificate Effective DateJanuary 31, 2026
Certificate Expiration DateJanuary 30, 2028
Laboratory DirectorDana C. Ackerly
Laboratory Phone(202) 953-0990
Laboratory LocationAckerly Macbride Group4910 Massachusetts Ave NW Suite 215, Washington, DC 20016
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Internal Medicine
4910 MASSACHUSETTS AVE NW STE 215
WASHINGTON, DC 20016
Internal Medicine
4910 MASSACHUSETTS AVE NW STE 215
WASHINGTON, DC 20016
Physician Assistant
4910 MASSACHUSETTS AVE NW STE 215
WASHINGTON, DC 20016
Internal Medicine (Geriatric Medicine)
4910 MASSACHUSETTS AVE NW STE 215
WASHINGTON, DC 20016

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 Ackerly Mcbride Group PLLC's NPI number?

The NPI number for Ackerly Mcbride Group PLLC is 1679342554. It was assigned to this organization in the NPPES registry on December 20, 2023.

Where is Ackerly Mcbride Group PLLC located?

Ackerly Mcbride Group PLLC is located at 4910 Massachusetts Ave NW Ste 215, Washington, DC 20016. The listed phone number is (202) 953-0990.

What is Ackerly Mcbride Group PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Ackerly Mcbride Group PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 09D2298227) is associated with this NPI, valid through January 30, 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 Ackerly Mcbride Group PLLC was last updated on February 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.