OrganizationActive
Davidsonville Pediatrics
NPI 1679657209 · Non-Pharmacy Dispensing Site · Davidsonville, MD
Davidsonville Pediatrics is a Non-Pharmacy Dispensing Site organization in Davidsonville, MD (NPI 1679657209).
Provider details
- NPI number
- 1679657209
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Direndia Shackelford, Managed Care Specialist(800) 654-0889
- License
- D0013889 (MD)
Specialties & taxonomies
Suppliers
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
2772 Rutland Rd
Davidsonville, MD 21035-1228
Phone: (410) 269-7828
Fax: (410) 269-0510
Street-level locationGet directions
Mailing address
2772 Rutland Rd
Davidsonville, MD 21035-1228
Other names (DBA / former)
- Doing business as
- Davidsonville Pediatrics
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2020-08-22
Frequently asked questions
- What is Davidsonville Pediatrics's NPI number?
- Davidsonville Pediatrics's National Provider Identifier (NPI) is 1679657209, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Davidsonville Pediatrics?
- Davidsonville Pediatrics is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Davidsonville Pediatrics located?
- Davidsonville Pediatrics's practice location on file with NPPES is 2772 Rutland Rd, Davidsonville, MD 21035-1228.
- What is Davidsonville Pediatrics's phone number?
- The practice phone number listed in the NPPES registry for Davidsonville Pediatrics is (410) 269-7828.
- Who is the authorized official for Davidsonville Pediatrics?
- The authorized official listed on Davidsonville Pediatrics's NPPES record is Direndia Shackelford, Managed Care Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Davidsonville Pediatrics's NPI active?
- Yes — Davidsonville Pediatrics's NPI (1679657209) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.