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J & G FAMILY PRACTICE LLC
NPI 1700526142
Family Medicine - Adult Medicine in Gwynn Oak, MD

Active since April 01, 2022CLIA 21D2269242 · Waiver
6614 WINDSOR MILL RD, GWYNN OAK, MD 21207(301) 404-1989 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About J & G Family Practice Llc NPPES

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

J & G FAMILY PRACTICE LLC (NPI 1700526142) is a healthcare organization registered as an adult medicine in Gwynn Oak, Maryland and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through September 21, 2026 and lists Ngum Avwontom, President, as its authorized official.

NPPES Registry Identity

NPI1700526142
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameJ & G FAMILY PRACTICE LLC
Location Address6614 WINDSOR MILL RDGwynn Oak, MD 21207-5381
Mailing Address6614 Windsor Mill RdGwynn Oak, MD 21207-5381 · (301) 404-1989
Phone(301) 404-1989
Organization SubpartNo
Authorized OfficialNgum AvwontomPresident · (301) 404-1989
Enumeration DateApril 1, 2022
NPPES CertifiedApril 1, 2022
✔ NPI 1700526142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
6614 WINDSOR MILL RD, Gwynn Oak, MD 21207
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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

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 21D2269242

J & G Family Practice LLC · Randallstown, MD
Active · expires Sep 21, 2026
CLIA Number21D2269242
Laboratory TypePhysician Office
Certificate Effective DateSeptember 22, 2024
Certificate Expiration DateSeptember 21, 2026
Laboratory DirectorNgum Avwontom
Laboratory Phone(301) 404-1989
Laboratory LocationJ & G Family Practice LLC9331 Liberty Rd #2d, Randallstown, MD 21133
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 J & G Family Practice LLC's NPI number?

The NPI number for J & G Family Practice LLC is 1700526142. It was assigned to this organization in the NPPES registry on April 1, 2022.

Where is J & G Family Practice LLC located?

J & G Family Practice LLC is located at 6614 Windsor Mill Rd, Gwynn Oak, MD 21207. The listed phone number is (301) 404-1989.

What is J & G Family Practice LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does J & G Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2269242) is associated with this NPI, valid through September 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for J & G Family Practice LLC was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.