MID ATLANTIC PRIMARY CARE
NPI 1487518361
Nurse Practitioner - Family in Pocomoke City, MD

Q: What is Mid Atlantic Primary Care's NPI number?

The NPI number for Mid Atlantic Primary Care is 1487518361. It was assigned to this organization in the NPPES registry on December 15, 2025.

Q: What is Mid Atlantic Primary Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since December 15, 2025CLIA 21D2165875 · Waiver

500 MARKET ST STE 102, POCOMOKE CITY, MD 21851(410) 749-6833(410) 749-5139 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mid Atlantic Primary Care NPPES

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

MID ATLANTIC PRIMARY CARE (NPI 1487518361) is a healthcare organization registered as a family in Pocomoke City, Maryland and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through May 6, 2027 and lists Traci Ann Church, Owner, as its authorized official.

NPPES Registry Identity

NPI1487518361

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameMID ATLANTIC PRIMARY CARE

Location Address500 MARKET ST STE 102Pocomoke City, MD 21851-1171

Mailing Address500 Market St Ste 102Pocomoke City, MD 21851-1171 · (410) 749-6833 · Fax (410) 749-5139

Phone(410) 749-6833

Fax(410) 749-5139

Organization SubpartYes

Authorized OfficialTraci Ann ChurchOwner · (410) 749-6833

Enumeration DateDecember 15, 2025

NPPES CertifiedDecember 15, 2025

✔ NPI 1487518361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

500 MARKET ST STE 102, Pocomoke City, MD 21851

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 21D2165875

Mid Atlantic Primary Care · Salisbury, MD

Active · expires May 6, 2027

CLIA Number21D2165875

Laboratory TypePhysician Office

Certificate Effective DateMay 7, 2025

Certificate Expiration DateMay 6, 2027

Laboratory DirectorTraci A. Church

Laboratory Phone(410) 749-6833

Laboratory LocationMid Atlantic Primary Care1322 Belmont Ave Suite 201, Salisbury, MD 21804

CLIA data matches this NPI record on: Name Phone

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 Mid Atlantic Primary Care's NPI number?

The NPI number for Mid Atlantic Primary Care is 1487518361. It was assigned to this organization in the NPPES registry on December 15, 2025.

Where is Mid Atlantic Primary Care located?

Mid Atlantic Primary Care is located at 500 Market St Ste 102, Pocomoke City, MD 21851. The listed phone number is (410) 749-6833.

What is Mid Atlantic Primary Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Mid Atlantic Primary Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2165875) is associated with this NPI, valid through May 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mid Atlantic Primary Care was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.