Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

FREDERICK PRIMARY CARE ASSOCIATES, P.A.
NPI 1811724099
Family Medicine in Woodsboro, MD

Q: What is Frederick Primary Care Associates, P.A.'s specialty?

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

Active since September 19, 2024CLIA 21D0221005 · Waiver

10200 COPPERMINE RD, WOODSBORO, MD 21798(301) 898-0618 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2025, Nov 4, 2024, Sep 19, 2024 (3 updates tracked since 2024).

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About Frederick Primary Care Associates, P.a. NPPES

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

FREDERICK PRIMARY CARE ASSOCIATES, P.A. (NPI 1811724099) is a healthcare organization registered as a family medicine in Woodsboro, Maryland and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through February 27, 2028 and lists Scott R Lilly, Ceo, as its authorized official.

NPPES Registry Identity

NPI1811724099

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameFREDERICK PRIMARY CARE ASSOCIATES, P.A.

Location Address10200 COPPERMINE RDWoodsboro, MD 21798-8319

Mailing Address610 Solarex CtFrederick, MD 21703-8624

Phone(301) 898-0618

Organization SubpartYes

Authorized OfficialScott R LillyCeo · (301) 663-6162

Enumeration DateSeptember 19, 2024

Last NPPES UpdateJune 23, 20263 updates tracked since enumeration

NPPES CertifiedJune 23, 2026

✔ NPI 1811724099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

10200 COPPERMINE RD, Woodsboro, MD 21798

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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 21D0221005

Frederick Primary Care Associates · Woodsboro, MD

Active · expires Feb 27, 2028

CLIA Number21D0221005

Laboratory TypePhysician Office

Certificate Effective DateFebruary 28, 2026

Certificate Expiration DateFebruary 27, 2028

Laboratory DirectorDr. Rebecca A. Goekeke

Laboratory Phone(301) 845-6322

Laboratory LocationFrederick Primary Care Associates10200 Coppermine Road, Woodsboro, MD 21798

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

HARRIET NGUGI

Nurse Practitioner (Family)