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CENTENNIAL MEDICAL GROUP
NPI 1699572396
Family Medicine in Laurel, MD

Active since February 28, 2025
10981 JOHNS HOPKINS RD, LAUREL, MD 20723(410) 730-3399(443) 478-4737 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Centennial Medical Group NPPES

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

CENTENNIAL MEDICAL GROUP (NPI 1699572396) is a healthcare organization registered as a family medicine in Laurel, Maryland and active in the NPI registry since February 2025. The organization lists Ria Young, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1699572396
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCENTENNIAL MEDICAL GROUP
Location Address10981 JOHNS HOPKINS RDLaurel, MD 20723-6002
Mailing Address6230 Old Dobbin Ln Ste 230Columbia, MD 21045-5884 · (410) 730-3399 · Fax (443) 478-4737
Phone(410) 730-3399
Fax(443) 478-4737
Organization SubpartNo
Authorized OfficialRia YoungCredentialing Manager · (410) 730-3399
Enumeration DateFebruary 28, 2025
NPPES CertifiedFebruary 28, 2025
✔ NPI 1699572396 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.

10981 JOHNS HOPKINS RD, Laurel, MD 20723
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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

Other Providers at the Same Location NPPES 3

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

OPTIMIZE THERAPY AND FITNESS LLC
Clinic/Center (Physical Therapy)
10981 JOHNS HOPKINS RD, SUITE 210
LAUREL, MD 20723
Howard County (301) 356-5500
ADVANCED RADIOLOGY P A
Radiology (Diagnostic Radiology)
10981 JOHNS HOPKINS RD
LAUREL, MD 20723
Howard County (888) 972-9700
MR. ELI NEBRES FONTANILLA PT
Physical Therapist
10981 JOHNS HOPKINS RD
LAUREL, MD 20723
Howard County (410) 730-3399

Frequently Asked Questions

What is CENTENNIAL MEDICAL GROUP's NPI number?

The NPI number assigned to this healthcare provider is 1699572396, enumerated as an "organization" on February 28, 2025.

Where is the provider located?

The provider is located at 10981 JOHNS HOPKINS RD LAUREL, MD 20723 and the phone number is (410) 730-3399.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.