Prime MD LLC
Prime MD LLC is a healthcare organization registered as Internal Medicine Physician in Clarksville, MD, holding Type 2 (organization) NPI 1558540161 since 2007. The authorized official on file is Suzan Abdo, Owner/Physician.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1558540161 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Prime MD LLC |
| Practice address | 5005 SIGNAL BELL LN, SUITE 202, Clarksville, MD, 21029 |
| Phone | 4435358500 |
| Fax | 4105311446 |
| Enumeration date | 2007-10-31 |
| Last updated in NPPES | 2010-09-16 |
Authorized official
| Name | Suzan Abdo |
|---|---|
| Title | Owner/Physician |
| Phone | 4435358500 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 320800000X | Mental Illness Community Based Residential Treatment Facility | Secondary | D50870 | MD |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | Secondary | D046855 | MD |
| 207R00000X | Internal Medicine Physician | Primary | D0050878 | MD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F698 | Other | DC | BSDC |
Copy-ready billing details
Provider: Prime MD LLC NPI: 1558540161 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 5005 SIGNAL BELL LN, SUITE 202, Clarksville, MD, 21029
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1508831223 | Aaron Twigg | Individual | Physical Medicine & Rehabilitation Physician | Clarksville, MD |
| 1821063165 | John Collins | Individual | Physical Medicine & Rehabilitation Physician | Clarksville, MD |
| 1003136086 | Joel Freedenberg | Individual | General Practice Dentistry | Clarksville, MD |
| 1154623452 | Maryland Spine and Sports Surgi-Center, L.L.C. | Organization | Ambulatory Surgical Clinic/Center | Clarksville, MD |
Verify this record
Cross-check NPI 1558540161 against the authoritative CMS record: view Prime MD LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Prime MD LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-09-16.