LIFEBRIDGE PRIMARY CARE OF NORTH CARROLL, LLC
NPI 1811398175
Family Medicine in Hampstead, MD
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 lists Mary Wright-sisk, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Lifebridge Primary Care Of North Carroll, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Lifebridge Primary Care Of North Carroll, LLC, which bills Medicare for the services they deliver. Of these, 8 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (12)
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 Lifebridge Primary Care Of North Carroll, LLC's NPI number?
The NPI number for Lifebridge Primary Care Of North Carroll, LLC is 1811398175. It was assigned to this organization in the NPPES registry on September 5, 2014. The provider is doing business as Carroll Medical Group.
Where is Lifebridge Primary Care Of North Carroll, LLC located?
Lifebridge Primary Care Of North Carroll, LLC is located at 4231 N Woods Trl Ste 100, Hampstead, MD 21074. The listed phone number is (410) 374-9391.
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.
Is Lifebridge Primary Care Of North Carroll, LLC enrolled in Medicare?
Yes. Lifebridge Primary Care Of North Carroll, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lifebridge Primary Care Of North Carroll, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Lifebridge Primary Care Of North Carroll, 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 Nurse Practitioner (7), Family Practice (3) and Internal Medicine (2). Of these, 8 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 Lifebridge Primary Care Of North Carroll, LLC was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Lifebridge Primary Care Of North Carroll, Llc · NPI 1811398175
Family Medicine organization in Hampstead, Maryland. Organization record, active in the CMS NPPES registry since September 5, 2014.
## Identity
- **NPI:** 1811398175 (Entity type: Organization)
- **Enumerated:** September 5, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Carroll Medical Group (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Mary Wright-Sisk, DIRECTOR
## Practice location
- **Address:** 4231 N WOODS TRL STE 100, Hampstead, MD 21074-3204
- **Phone:** (410) 374-9391 · **Fax:** (410) 374-1866
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Family Practice (3), Internal Medicine (2); 8 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 20, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1811398175) · Data from the CMS NPPES public registry.