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

Premier Medical Group of Maryland LLC

Organization Primary Care Clinic/Center · NPI 1023791605

Premier Medical Group of Maryland LLC is a Primary Care Clinic/Center in Columbia, Maryland. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10705 Charter Dr Ste 350
Columbia, MD 21044-2995
Phone: (410) 709-7432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1023791605
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Fakorede — Md · (410) 709-7432
NPI enumeratedAugust 9, 2023
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025
Mailing address10705 Charter Dr Ste 350, Columbia, MD 21044-2995

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