CENTENNIAL MEDICAL GROUP – NPI #1699572396
Family Medicine

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.

CENTENNIAL MEDICAL GROUP is a provider located in LAUREL, MD. NPPES has assigned the NPI number 1699572396 to CENTENNIAL MEDICAL GROUP on February 28, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTENNIAL MEDICAL GROUP below.

NPI Profile for
CENTENNIAL MEDICAL GROUP

NPI Number
1699572396
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTENNIAL MEDICAL GROUP
Primary location
10981 JOHNS HOPKINS RD
LAUREL, MD 20723-6002
Phone: (410) 730-3399 Fax: (443) 478-4737
Mailing address
6230 OLD DOBBIN LN STE 230
COLUMBIA, MD 21045-5884
Phone: (410) 730-3399 Fax: (443) 478-4737
Organization Subpart
No
Authorized Official
RIA YOUNG
CREDENTIALING MANAGER
Phone: (410) 730-3399
Updated
Certification Date
Feb 28, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.