TIDALHEALTH PRIMARY CARE, LLC
NPI 1255198214
Family Medicine in Salisbury, MD

Active since March 05, 2024
100 E CARROLL ST, SALISBURY, MD 21801(410) 546-6400 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 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 1255198214) 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

NPI1255198214
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTIDALHEALTH PRIMARY CARE, LLC
Location Address100 E CARROLL STSalisbury, MD 21801-5422
Mailing Address100 E Carroll StSalisbury, MD 21801-5422 · (410) 546-6400
Organization SubpartNo
Authorized OfficialWilliam PelotChief Administrator Officer · (410) 543-7497
Enumeration DateMarch 5, 2024
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
NPI 1255198214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
100 E CARROLL ST, Salisbury, MD 21801

Other Names 1

Other NameTidalhealth Community Wellness

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
100 E CARROLL ST
SALISBURY, MD 21801
Pediatrics (Neonatal-Perinatal Medicine)
100 E CARROLL ST
SALISBURY, MD 21801
Anesthesiology
100 E CARROLL ST
SALISBURY, MD 21801
Speech-Language Pathologist
100 E CARROLL ST
SALISBURY, MD 21801
Student in an Organized Health Care Education/Training Program
100 E CARROLL ST
SALISBURY, MD 21801
Nurse Practitioner
100 E CARROLL ST
SALISBURY, MD 21801
Internal Medicine
100 E CARROLL ST, INPATIENT SERVICES
SALISBURY, MD 21801
Emergency Medicine
100 E CARROLL ST
SALISBURY, MD 21801

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 1255198214. It was assigned to this organization in the NPPES registry on March 5, 2024. The provider is also known as TidalHealth Community Wellness.

Where is Tidalhealth Primary Care, LLC located?

Tidalhealth Primary Care, LLC is located at 100 E Carroll St, Salisbury, MD 21801. The listed phone number is (410) 546-6400.

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.