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ELLICOTT CITY PRIMARY CARE LLC
NPI 1720661812
Clinic/Center - Primary Care in Ellicott City, MD

Active since May 05, 2021CLIA 21D2216980 · Waiver
9055 CHEVROLET DR STE 100, ELLICOTT CITY, MD 21042(410) 862-8860(410) 988-5095 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ellicott City Primary Care Llc NPPES

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

ELLICOTT CITY PRIMARY CARE LLC (NPI 1720661812) is a healthcare organization registered as a primary care in Ellicott City, Maryland and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through March 16, 2027 and lists Debra Goldman Curtis, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1720661812
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameELLICOTT CITY PRIMARY CARE LLC
Location Address9055 CHEVROLET DR STE 100Ellicott City, MD 21042-4091
Mailing Address9055 Chevrolet Dr Ste 100Ellicott City, MD 21042-4091 · (410) 862-8860
Phone(410) 862-8860
Fax(410) 988-5095
Organization SubpartNo
Authorized OfficialDebra Goldman CurtisPhysician/owner · (410) 862-8860
Enumeration DateMay 5, 2021
NPPES CertifiedMay 5, 2021
✔ NPI 1720661812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
9055 CHEVROLET DR STE 100, Ellicott City, MD 21042
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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 21D2216980

Ellicott City Primary Care, LLC · Marriottsville, MD
Active · expires Mar 16, 2027
CLIA Number21D2216980
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2025
Certificate Expiration DateMarch 16, 2027
Laboratory DirectorDeborah Curtis
Laboratory Phone(410) 862-8860
Laboratory LocationEllicott City Primary Care, LLC2500 Wallington Way Suite 208, Marriottsville, MD 21104
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

PRIVIA MEDICAL GROUP, LLC
Internal Medicine
9055 CHEVROLET DR STE 100
ELLICOTT CITY, MD 21042
Howard County (410) 465-5454
KELSEY FURSTENBERG CRNP
Nurse Practitioner (Family)
9055 CHEVROLET DR STE 100
ELLICOTT CITY, MD 21042
Howard County (410) 750-9200
PRIVIA MEDICAL GROUP, LLC
Internal Medicine
9055 CHEVROLET DR STE 100
ELLICOTT CITY, MD 21042
Howard County (410) 862-8860

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 Ellicott City Primary Care LLC's NPI number?

The NPI number for Ellicott City Primary Care LLC is 1720661812. It was assigned to this organization in the NPPES registry on May 5, 2021.

Where is Ellicott City Primary Care LLC located?

Ellicott City Primary Care LLC is located at 9055 Chevrolet Dr Ste 100, Ellicott City, MD 21042. The listed phone number is (410) 862-8860.

What is Ellicott City Primary Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Ellicott City Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2216980) is associated with this NPI, valid through March 16, 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 Ellicott City Primary Care LLC was last updated on May 5, 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.