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TIDALHEALTH PRIMARY CARE, LLC
NPI 1023970183
Family Medicine in Ocean City, MD

Active since November 26, 2025CLIA Certified · 2 labs
1001 PHILADELPHIA AVE STE B, OCEAN CITY, MD 21842(410) 289-6241 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tidalhealth Primary Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIDALHEALTH PRIMARY CARE, LLC (NPI 1023970183) is a healthcare organization registered as a family medicine in Ocean City, Maryland and active in the NPI registry since November 2025. The organization holds 2 active CLIA laboratory certificates and lists Sloan Trammell, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1023970183
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTIDALHEALTH PRIMARY CARE, LLC
Location Address1001 PHILADELPHIA AVE STE BOcean City, MD 21842-3735
Mailing AddressPo Box 825474Philadelphia, PA 19182-5474
Phone(410) 289-6241
Organization SubpartNo
Authorized OfficialSloan TrammellCredentialing Manager · (410) 912-6989
Enumeration DateNovember 26, 2025
NPPES CertifiedNovember 26, 2025
✔ NPI 1023970183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1001 PHILADELPHIA AVE STE B, Ocean City, MD 21842
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D0221271

Tidal Health Primary Care · Ocean City, MD
Active · expires Mar 25, 2027
CLIA Number21D0221271
Laboratory TypePhysician Office
Certificate Effective DateMarch 26, 2025
Certificate Expiration DateMarch 25, 2027
Laboratory DirectorMr. Gregory W. Smith
Laboratory Phone(410) 641-9362
Laboratory LocationTidal Health Primary Care1001 Philadelphia Avenue Suite B, Ocean City, MD 21842
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2091739

Tidalhealth Primary Care · Ocean City, MD
Active · expires Feb 17, 2027
CLIA Number21D2091739
Laboratory TypePhysician Office
Certificate Effective DateFebruary 18, 2025
Certificate Expiration DateFebruary 17, 2027
Laboratory DirectorMunna Garg
Laboratory Phone(410) 641-9362
Laboratory LocationTidalhealth Primary Care12308 Ocean Gateway, Unit 1, Ocean City, MD 21842
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tidalhealth Primary Care, LLC's NPI number?

The NPI number for Tidalhealth Primary Care, LLC is 1023970183. It was assigned to this organization in the NPPES registry on November 26, 2025.

Where is Tidalhealth Primary Care, LLC located?

Tidalhealth Primary Care, LLC is located at 1001 Philadelphia Ave Ste B, Ocean City, MD 21842. The listed phone number is (410) 289-6241.

What is Tidalhealth Primary Care, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Tidalhealth Primary Care, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Tidalhealth Primary Care, LLC was last updated on November 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.