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

Percival Carlos Hargrove, PA

Individual provider Physician Assistant · NPI 1770560450

Percival Carlos Hargrove, PA is a Physician Assistant in Jb Andrews, Maryland. Licensed in Maryland. Registered with an NPI since 2005.

Licensed in
MD
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1060 W Perimeter Rd
Jb Andrews, MD 20762-6602
Phone: (240) 612-1856
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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 · Licence C0005080 (MD)
Physician Assistant Taxonomy 363A00000X · Licence C0005080 (MD)

Record details

NPI number1770560450
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 23, 2005
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

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