OrganizationActive
Antioch Primary Care LLC
NPI 1558443762 · Internal Medicine Physician · College Park, MD
Provider details
- NPI number
- 1558443762
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jonita Conner, President(240) 473-1090
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
4700 Berwyn House Rd
College Park, MD 20740
Phone: (240) 473-1090
Street-level locationGet directions
Mailing address
4700 Berwyn House Rd
College Park, MD 20740
Other names (DBA / former)
- Doing business as
- Antioch Primary Care
Registry dates
- Enumerated
- 2006-10-19
- Last updated
- 2008-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.