PRINCESS ANNE FAMILY PRACTICE
NPI 1831183169
Family Medicine in Princess Anne, MD

Active since September 01, 2005CLIA 21D0221294 · Microscopy
30434 MOUNT VERNON RD, PRINCESS ANNE, MD 21853(410) 651-0350(410) 651-4857 Get Directions Write a Review

NPPES record last updated: December 4, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Princess Anne Family Practice NPPES

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

PRINCESS ANNE FAMILY PRACTICE (NPI 1831183169) is a healthcare organization registered as a family medicine in Princess Anne, Maryland and active in the NPI registry since September 2005. The organization holds a CLIA Microscopy certificate valid through October 2, 2026 and lists Charles Donald Stegman, President, as its authorized official.

NPPES Registry Identity

NPI1831183169
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRINCESS ANNE FAMILY PRACTICE
Location Address30434 MOUNT VERNON RDPrincess Anne, MD 21853-1400
Mailing Address30434 Mount Vernon RdPrincess Anne, MD 21853-1400 · (410) 651-0350 · Fax (410) 651-4857
Fax(410) 651-4857
Organization SubpartNo
Authorized OfficialCharles Donald StegmanPresident · (410) 651-0350
Enumeration DateSeptember 1, 2005
Last NPPES UpdateDecember 4, 2007
NPI 1831183169 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.
30434 MOUNT VERNON RD, Princess Anne, MD 21853

Other Identifiers 1

Medicare PIN668MMD

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) 21D0221294

Princess Anne Family Practice · Princess Anne, MD
Active · expires Oct 2, 2026
CLIA Number21D0221294
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorCharles B. Hofmann
Laboratory Phone(410) 651-0350
Laboratory LocationPrincess Anne Family Practice30434 Mt Vernon Rd, Princess Anne, MD 21853
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 3

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

Internal Medicine
30434 MOUNT VERNON RD
PRINCESS ANNE, MD 21853
Family Medicine
30434 MOUNT VERNON RD
PRINCESS ANNE, MD 21853
Nurse Practitioner (Family)
30434 MOUNT VERNON RD
PRINCESS ANNE, MD 21853

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 Princess Anne Family Practice's NPI number?

The NPI number for Princess Anne Family Practice is 1831183169. It was assigned to this organization in the NPPES registry on September 1, 2005.

Where is Princess Anne Family Practice located?

Princess Anne Family Practice is located at 30434 Mount Vernon Rd, Princess Anne, MD 21853. The listed phone number is (410) 651-0350.

What is Princess Anne Family Practice's specialty?

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

Does Princess Anne Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D0221294) is associated with this NPI, valid through October 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Princess Anne Family Practice was last updated on December 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.