Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Centennial Medical Group

Organization Family Medicine Physician · NPI 1699572396

Centennial Medical Group is a Family Medicine Physician in Laurel, Maryland. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

10981 Johns Hopkins Rd
Laurel, MD 20723-6002
Phone: (410) 730-3399
Fax: (443) 478-4737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1699572396
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ria Young — Credentialing Manager · (410) 730-3399
NPI enumeratedFebruary 28, 2025
Last updated in NPPESFebruary 28, 2025
Certification dateFebruary 28, 2025
Mailing address6230 Old Dobbin Ln Ste 230, Columbia, MD 21045-5884

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