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UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
NPI 1679393854
Psychiatry & Neurology - Psychiatry in La Plata, MD

Active since October 14, 2024
5 GARRETT AVE, LA PLATA, MD 20646(301) 609-4000(301) 934-6493 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About University Of Maryland Community Medical Group, Inc. NPPES

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

UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC. (NPI 1679393854) is a healthcare organization registered as a psychiatry in La Plata, Maryland and active in the NPI registry since October 2024. The organization lists Paul Stephen Nicholson, Senior Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1679393854
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameUNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
Location Address5 GARRETT AVELa Plata, MD 20646-5960
Mailing Address900 Elkridge Landing Rd Fl 2Linthicum, MD 21090-2924 · (443) 462-5010
Phone(301) 609-4000
Fax(301) 934-6493
Organization SubpartNo
Authorized OfficialPaul Stephen NicholsonSenior Vp, Cfo · (410) 337-1602
Enumeration DateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
✔ NPI 1679393854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
5 GARRETT AVE, La Plata, MD 20646
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

University Of Maryland Community Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

963

Medicare enrollment records show 963 clinicians reassign Medicare billing to University Of Maryland Community Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 42 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 49

Nurse Practitioner215
Obstetrics/Gynecology79
Internal Medicine63
Certified Registered Nurse Anesthetist (CRNA)60
Pediatric Medicine54
Psychiatry51
Certified Nurse Midwife (CNM)37
Neurology37
41 other specialties367

Nearest to this location (20)

See all 963
Gbemisola Adebayo
Nurse Practitioner
NPI 1588244255
5 GARRETT AVE
La Plata, MD 20646
(301) 609-4801
✔ PECOS✔ Accepts MedicareSame address
Bisrat Nigussie, M.D.
Cardiovascular Disease (Cardiology)
NPI 1275060949
5 GARRETT AVE
La Plata, MD 20646
(301) 609-4000
✔ PECOS✔ Accepts MedicareSame address
Usman Piracha, MD
Cardiovascular Disease (Cardiology)
NPI 1245548841
5 GARRETT AVE
La Plata, MD 20646
(301) 609-4539
✔ PECOS✔ Accepts MedicareSame address
Harold Gaines, M.D.
Emergency Medicine
NPI 1255328811
701 CHARLES ST
La Plata, MD 20646
(301) 609-4000
✔ PECOS✔ Accepts MedicareSame address
Jasmin Garcia, LCSW-C
Clinical Social Worker
NPI 1720633878
616 CHARLES ST STE 106
La Plata, MD 20646
(301) 609-5469
✔ PECOS✔ Accepts Medicare0.1 mi
Erica Contreras, MD
Obstetrics/Gynecology
NPI 1922202696
605 EAST CHARLES STREET
La Plata, MD 20646
(240) 427-1800
✔ PECOS✔ Accepts Medicare0.1 mi
Constance Fox, FNP
Nurse Practitioner
NPI 1386118867
103 CENTENNIAL ST STE B
La Plata, MD 20646
(301) 934-9111
✔ PECOS✔ Accepts Medicare0.5 mi
Christina Licalzi, FNP
Nurse Practitioner
NPI 1710451299
103 CENTENNIAL ST STE B
La Plata, MD 20646
(301) 934-9111
✔ PECOS✔ Accepts Medicare0.5 mi
Alyson Lowery
Nurse Practitioner
NPI 1659988962
103 CENTENNIAL ST STE C
La Plata, MD 20646
(301) 934-9111
✔ PECOS✔ Accepts Medicare0.5 mi
Hajr Muhammad
Nurse Practitioner
NPI 1740789791
103 CENTENNIAL ST STE B
La Plata, MD 20646
(301) 934-9111
✔ PECOS✔ Accepts Medicare0.5 mi
Jamie Welch, CRNP, FNP-C
Nurse Practitioner
NPI 1447936125
103 CENTENNIAL ST STE C
La Plata, MD 20646
(301) 934-9111
✔ PECOS✔ Accepts Medicare0.5 mi
Vladimir Kakitelashvili, M.D.
Urology
NPI 1700882297
101 CENTENNIAL ST SUITE E
La Plata, MD 20646
(301) 392-0525
✔ PECOS✔ Accepts Medicare0.6 mi
Chaniece Simmons, WHNP-BC
Nurse Practitioner
NPI 1881441905
101 E CHARLES ST STE 104
La Plata, MD 20646
(301) 609-4800
✔ PECOS✔ Accepts Medicare0.6 mi
Kelsey Thrush, D.O.
Obstetrics/Gynecology
NPI 1861812174
101 E CHARLES ST STE 104
La Plata, MD 20646
(301) 609-4800
✔ PECOS✔ Accepts Medicare0.6 mi
Timothy Joseph, MD
Internal Medicine
NPI 1174101943
5 N LA PLATA CT STE 101
La Plata, MD 20646
(410) 328-6445
✔ PECOS✔ Accepts Medicare1.7 mi
Smriti Sharma
Nurse Practitioner
NPI 1215680921
5 N LA PLATA CT STE 101
La Plata, MD 20646
(301) 609-5044
✔ PECOS✔ Accepts Medicare1.7 mi
Erik De Angelis, MD
General Surgery
NPI 1942734827
145 ROSEWICK CORNER PL
La Plata, MD 20646
(301) 609-5006
✔ PECOS✔ Accepts Medicare1.8 mi
Mohammad Abdallah, MBBS
Gastroenterology
NPI 1598251282
5 N LA PLATA CT STE 202
La Plata, MD 20646
(301) 609-4276
✔ PECOS✔ Accepts Medicare3.5 mi
Getinet Kassa, M.D.
Neurology
NPI 1629331855
5 N LA PLATA CT
La Plata, MD 20646
(301) 609-6387
✔ PECOS✔ Accepts Medicare3.5 mi
Cassandra Burrell, MS, CNM
Certified Nurse Midwife (CNM)
NPI 1629518345
5010 REGENCY PL STE 301
White Plains, MD 20695
(301) 609-4964
✔ PECOS✔ Accepts Medicare4.7 mi
See all 963 clinicians

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 University Of Maryland Community Medical Group, Inc.'s NPI number?

The NPI number for University Of Maryland Community Medical Group, Inc. is 1679393854. It was assigned to this organization in the NPPES registry on October 14, 2024.

Where is University Of Maryland Community Medical Group, Inc. located?

University Of Maryland Community Medical Group, Inc. is located at 5 Garrett Ave, La Plata, MD 20646. The listed phone number is (301) 609-4000.

What is University Of Maryland Community Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is University Of Maryland Community Medical Group, Inc. enrolled in Medicare?

Yes. University Of Maryland Community Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through University Of Maryland Community Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 963 clinicians in 49 Medicare specialties reassign their Medicare billing to University Of Maryland Community Medical Group, Inc.. 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. The largest specialties are Nurse Practitioner (215), Obstetrics/Gynecology (79) and Internal Medicine (63). Of these, 1 practice at this address and 42 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does University Of Maryland Community Medical Group, Inc. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list University Of Maryland Community Medical Group, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for University Of Maryland Community Medical Group, Inc. was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.