OrganizationActive
316th Medgrp-Malcolm Grow
NPI 1215994660 · Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center · Jb Andrews, MD
Provider details
- NPI number
- 1215994660
- Entity type
- Organization
- Primary specialty
- Military and U.S. Coast Guard Ambulatory Procedure Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- 316th Medgrp-Malcolm Grow
- Organization subpart
- Yes
- Authorized official
- William Condon, Dha Financial Manager(240) 401-3643
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1060 W Perimeter Rd
Jb Andrews, MD 20762-6602
Phone: (240) 857-8658
Fax: (240) 857-7700
Street-level locationGet directions
Mailing address
1060 W Perimeter Rd
Jb Andrews, MD 20762-6602
Other names (DBA / former)
- Other name
- 779th Medical Group
- Other name
- 779th Medical Group
Registry dates
- Enumerated
- 2006-04-28
- Last updated
- 2025-03-12
- Certified
- 2025-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.