1. Home
  2. Directory
  3. Maryland
  4. Salisbury
  5. Family Medicine
  6. NPI Profile

TIDALHEALTH PRIMARY CARE, LLC
NPI 1114784188
Family Medicine in Salisbury, MD

Active since March 05, 2024
560 RIVERSIDE DR STE B204, SALISBURY, MD 21801(410) 543-7720 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 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 1114784188) is a healthcare organization registered as a family medicine in Salisbury, Maryland and active in the NPI registry since March 2024. The organization lists William Pelot, Chief Administrator Officer, as its authorized official.

NPPES Registry Identity

NPI1114784188
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTIDALHEALTH PRIMARY CARE, LLC
Location Address560 RIVERSIDE DR STE B204Salisbury, MD 21801-4703
Mailing Address560 Riverside Dr Ste B204Salisbury, MD 21801-4703 · (410) 543-7720
Phone(410) 543-7720
Organization SubpartNo
Authorized OfficialWilliam PelotChief Administrator Officer · (410) 543-7497
Enumeration DateMarch 5, 2024
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1114784188 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.
560 RIVERSIDE DR STE B204, Salisbury, MD 21801
Open in Google Maps ↗

Other Names 1

Other NameTidalhealrh Family Medicine Practice

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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIVERSIDE NEUROLOGY LLC
Psychiatry & Neurology (Neurology)
560 RIVERSIDE DR STE B204
SALISBURY, MD 21801
Wicomico County (410) 546-5722
TIDALHEALTH PRIMARY CARE, LLC
Family Medicine
560 RIVERSIDE DR STE B204
SALISBURY, MD 21801
Wicomico County (410) 543-7720
RIVERSIDE NEUROLOGY ASSOCIATES LLC
Psychiatry & Neurology (Neurology)
560 RIVERSIDE DR STE B204
SALISBURY, MD 21801
Wicomico County (410) 546-5722
TIDALHEALTH SPECIALTY CARE, LLC
Internal Medicine (Rheumatology)
560 RIVERSIDE DR STE B204
SALISBURY, MD 21801
Wicomico County (410) 912-5640
TIDALHEALTH SPECIALTY CARE, LLC
Internal Medicine (Geriatric Medicine)
560 RIVERSIDE DR STE B204
SALISBURY, MD 21801
Wicomico County (410) 912-6793

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 1114784188. It was assigned to this organization in the NPPES registry on March 5, 2024. The provider is also known as TidalHealrh Family Medicine Practice.

Where is Tidalhealth Primary Care, LLC located?

Tidalhealth Primary Care, LLC is located at 560 Riverside Dr Ste B204, Salisbury, MD 21801. The listed phone number is (410) 543-7720.

What is Tidalhealth Primary Care, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Tidalhealth Primary Care, LLC was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.