# FREDERICK PRIMARY CARE ASSOCIATES, P.A.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FREDERICK PRIMARY CARE ASSOCIATES, P.A.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083411979
- **Legal business name:** FREDERICK PRIMARY CARE ASSOCIATES, P.A.
- **Authorized official:** SCOTT R LILLY (CEO)
- **Authorized official phone:** (301) 663-6162

## Contact information

- **Practice address:** 9093 RIDGEFIELD DR STE 104, FREDERICK, MD 21701-6711
- **Practice address phone:** (240) 913-5950
- **Mailing address:** 610 SOLAREX CT, FREDERICK, MD 21703-8624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/27/2025
- **Last updated:** 06/23/2026