TDMD PRIMARY CARE PLLC
NPI 1629658802
Clinic/Center - Primary Care in Apex, NC
About Tdmd Primary Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TDMD PRIMARY CARE PLLC (NPI 1629658802) is a healthcare organization registered as a primary care in Apex, North Carolina and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through May 9, 2027 and lists Thusitha R Dissanayake, Owner/managing Memeber, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tdmd Primary Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Tdmd Primary Care PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 34D2223725
Tdmd Primary Care · Apex, NCFrequently 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 Tdmd Primary Care PLLC's NPI number?
The NPI number for Tdmd Primary Care PLLC is 1629658802. It was assigned to this organization in the NPPES registry on April 12, 2021. The provider is also known as TDMD Primary Care.
Where is Tdmd Primary Care PLLC located?
Tdmd Primary Care PLLC is located at 1001 Pemberton Hill Rd Ste 202, Apex, NC 27502. The listed phone number is (919) 760-5228.
What is Tdmd Primary Care PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Tdmd Primary Care PLLC enrolled in Medicare?
Yes. Tdmd Primary Care PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tdmd Primary Care PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Tdmd Primary Care PLLC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Tdmd Primary Care PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2223725) is associated with this NPI, valid through May 9, 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 Tdmd Primary Care PLLC was last updated on April 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Tdmd Primary Care Pllc · NPI 1629658802
Primary Care organization in Apex, North Carolina. Organization record, active in the CMS NPPES registry since April 12, 2021.
## Identity
- **NPI:** 1629658802 (Entity type: Organization)
- **Enumerated:** April 12, 2021
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** TDMD Primary Care (Other Name)
- **Organization subpart:** No
- **Authorized official:** Thusitha Dissanayake, OWNER/MANAGING MEMEBER
## Practice location
- **Address:** 1001 PEMBERTON HILL RD STE 202, Apex, NC 27502-4265
- **Phone:** (919) 760-5228
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 17, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629658802) · Data from the CMS NPPES public registry.