C C NEUROLOGY LLC
NPI 1750158374
Psychiatry & Neurology - Neurology in Waldorf, MD
About C C Neurology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
C C NEUROLOGY LLC (NPI 1750158374) is a healthcare organization registered as a neurology in Waldorf, Maryland and active in the NPI registry since December 2023. The organization lists Roche Watson, Practice Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
C C Neurology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to C C Neurology LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 C C Neurology LLC's NPI number?
The NPI number for C C Neurology LLC is 1750158374. It was assigned to this organization in the NPPES registry on December 4, 2023.
Where is C C Neurology LLC located?
C C Neurology LLC is located at 11637 Terrace Dr Ste 100, Waldorf, MD 20602. The listed phone number is (301) 870-7287.
What is C C Neurology LLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is C C Neurology LLC enrolled in Medicare?
Yes. C C Neurology LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through C C Neurology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to C C Neurology LLC. 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 Neurology (3) and Nurse Practitioner (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for C C Neurology LLC was last updated on December 4, 2023. 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.
# C C Neurology Llc · NPI 1750158374
Neurology organization in Waldorf, Maryland. Organization record, active in the CMS NPPES registry since December 4, 2023.
## Identity
- **NPI:** 1750158374 (Entity type: Organization)
- **Enumerated:** December 4, 2023
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **Organization subpart:** No
- **Authorized official:** Roche Watson, PRACTICE OWNER
## Practice location
- **Address:** 11637 TERRACE DR STE 100, Waldorf, MD 20602-3707
- **Phone:** (301) 870-7287
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Neurology (3), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1750158374) · Data from the CMS NPPES public registry.