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TIDALHEALTH PRIMARY CARE, LLC
NPI 1285524256
Family Medicine in Salisbury, MD

Active since July 09, 2025
805 E CHURCH ST, SALISBURY, MD 21804(410) 543-7717 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 1285524256) is a healthcare organization registered as a family medicine in Salisbury, Maryland and active in the NPI registry since July 2025. The organization lists William Pelot, Chief Administrator Officer, as its authorized official.

NPPES Registry Identity

NPI1285524256
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTIDALHEALTH PRIMARY CARE, LLC
Location Address805 E CHURCH STSalisbury, MD 21804-4349
Mailing AddressPo Box 825474Philadelphia, PA 19182-5474
Phone(410) 543-7717
Organization SubpartNo
Authorized OfficialWilliam PelotChief Administrator Officer · (410) 543-7497
Enumeration DateJuly 9, 2025
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1285524256 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.
805 E CHURCH ST, Salisbury, MD 21804
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Other Names 1

Other NameTidalhealth Community Clinic

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

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

TIDALHEALTH SPECIALTY CARE, LLC
Social Worker (Clinical)
805 E CHURCH ST
SALISBURY, MD 21804
Wicomico County (410) 543-7714

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 1285524256. It was assigned to this organization in the NPPES registry on July 9, 2025. The provider is also known as TidalHealth Community Clinic.

Where is Tidalhealth Primary Care, LLC located?

Tidalhealth Primary Care, LLC is located at 805 E Church St, Salisbury, MD 21804. The listed phone number is (410) 543-7717.

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.