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TIDALHEALTH PRIMARY CARE, LLC
NPI 1366304420
Family Medicine in Selbyville, DE

Active since November 26, 2025CLIA Certified · 2 labs
15 N WILLIAMS ST, SELBYVILLE, DE 19975(302) 436-8004 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 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 1366304420) is a healthcare organization registered as a family medicine in Selbyville, Delaware and active in the NPI registry since November 2025. The organization holds 2 active CLIA laboratory certificates and lists Sloan Trammell, Insurance Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1366304420
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTIDALHEALTH PRIMARY CARE, LLC
Location Address15 N WILLIAMS STSelbyville, DE 19975-7514
Mailing AddressPo Box 825474Philadelphia, PA 19182-5474
Phone(302) 436-8004
Organization SubpartNo
Authorized OfficialSloan TrammellInsurance Credentialing Manager · (410) 912-6989
Enumeration DateNovember 26, 2025
NPPES CertifiedNovember 26, 2025
✔ NPI 1366304420 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.
15 N WILLIAMS ST, Selbyville, DE 19975
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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 for Provider-Performed Microscopy Procedures (PPMP) 08D1003222

Tidalhealth Primary Care · Selbyville, DE
Active · expires Aug 25, 2026
CLIA Number08D1003222
Laboratory TypePhysician Office
Certificate Effective DateAugust 26, 2024
Certificate Expiration DateAugust 25, 2026
Laboratory DirectorDr. Sally H. Dowling
Laboratory Phone(410) 641-9362
Laboratory LocationTidalhealth Primary Care15 N Williams Street, Selbyville, DE 19975
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 08D2075943

Tidalhealth Primary Care · Selbyville, DE
Active · expires Sep 8, 2027
CLIA Number08D2075943
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorDr. Ellen Rowe Rhodes
Laboratory Phone(410) 641-9362
Laboratory LocationTidalhealth Primary Care37464 Lion Dr, Unit 2, Selbyville, DE 19975
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

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

ATLANTIC GENERAL HOSPITAL CORPORATION
Family Medicine
15 N WILLIAMS ST
SELBYVILLE, DE 19975
Sussex County (302) 436-8004
KATHLEEN E MORRIS FNP-C
Nurse Practitioner (Family)
15 N WILLIAMS ST
SELBYVILLE, DE 19975
Sussex County (410) 436-8004
SALLY H. DOWLING, MD, LLC
Legal Medicine
15 N WILLIAMS ST
SELBYVILLE, DE 19975
Sussex County (302) 436-8004
MRS. SALLY HAMEL DOWLING MD
Family Medicine
15 N WILLIAMS ST
SELBYVILLE, DE 19975
Sussex County (302) 436-8004

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 1366304420. 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 15 N Williams St, Selbyville, DE 19975. The listed phone number is (302) 436-8004.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.