A G MEDICAL LLC NPI 1669095071

NPI Information

  • NPI: 1669095071
  • Provider Name: A G MEDICAL, LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Doing Business As: GOLDEN PRIMARY CARE
  • CLIA Number: 21D2186621
  • Address: 915 SETON DR
    CUMBERLAND, MD
    ZIP 21502
  • Phone: (240) 503-1500

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NPI Details

A G MEDICAL, LLC is a family nurse practitioner in Cumberland, MD. A G MEDICAL, LLC NPI is 1669095071. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Golden Primary Care.

The provider's business location address is:

915 SETON DR
CUMBERLAND, MD
ZIP 21502-817
Phone: (240) 503-1500
Fax: (240) 503-1501

The provider's authorized official is Ashley Golden .
The authorized official title is Owner and has the following contact phone number (304) 813-4111.

The CLIA number assigned to this NPI record is 21D2186621 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2020 and was last updated on 10/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1125430800MEDICAIDMARYLAND
21639500598OTHERTYPE I NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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