LIFEBRIDGE PRIMARY CARE OF NORTH CARROLL, LLC - NPI 1811398175

Q: What is Lifebridge Primary Care Of North Carroll, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Lifebridge Primary Care Of North Carroll, Llc NPPES

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

LIFEBRIDGE PRIMARY CARE OF NORTH CARROLL, LLC (NPI 1811398175), doing business as Carroll Medical Group, is a healthcare organization registered as a family medicine in Hampstead, Maryland and active in the NPI registry since September 2014. The organization holds a CLIA Microscopy certificate valid through October 19, 2026 and lists Mary Wright-sisk, Director, as its authorized official.

NPPES Registry Identity

NPI1811398175

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameLIFEBRIDGE PRIMARY CARE OF NORTH CARROLL, LLC

Location Address4231 N WOODS TRL STE 100Hampstead, MD 21074-3204

Mailing Address4231 N Woods Trl Ste 100Hampstead, MD 21074-3204 · (410) 374-9391 · Fax (410) 374-1866

Phone(410) 374-9391

Fax(410) 374-1866

Organization SubpartNo

Authorized OfficialMary Wright-siskDirector · (443) 422-9941

Enumeration DateSeptember 5, 2014

Last NPPES UpdateNovember 20, 20252 updates tracked since enumeration

NPPES CertifiedNovember 20, 2025

✔ NPI 1811398175 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.

4231 N WOODS TRL STE 100, Hampstead, MD 21074

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Other Names 1

Doing Business AsCarroll Medical Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 for Provider-Performed Microscopy Procedures (PPMP) 21D0215137

Lifebridge Primary Care Of North Carroll Da Rocha MD LLC · Hampstead, MD

Active · expires Oct 19, 2026

CLIA Number21D0215137

Laboratory TypePhysician Office

Certificate Effective DateOctober 20, 2024

Certificate Expiration DateOctober 19, 2026

Laboratory DirectorSarah A. Frattali

Laboratory Phone(410) 374-9391

Laboratory LocationLifebridge Primary Care Of North Carroll Da Rocha MD LLC4231 Northwoods Trail, Hampstead, MD 21074

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

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

THRISANN CHAPLIN CRNP

Nurse Practitioner (Family)