HEALTHPORT
NPI 1780950725
Clinic/Center - Primary Care in Salisbury, MD

Active since March 23, 2012
505 E MAIN ST, SALISBURY, MD 21804(410) 341-3420(410) 341-3397 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 4, 2025, Mar 14, 2023, Sep 25, 2019 and 1 more (4 updates tracked since 2019).

About Healthport NPPES

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

HEALTHPORT (NPI 1780950725), doing business as Lower Shore Clinic, Inc, is a healthcare organization registered as a primary care in Salisbury, Maryland and active in the NPI registry since March 2012. The organization maintains 4 additional practice locations and lists Kristine Gartlitz, Vice President, as its authorized official.

NPPES Registry Identity

NPI1780950725
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHEALTHPORT
Location Address505 E MAIN STSalisbury, MD 21804-5020
Mailing Address505 E Main StSalisbury, MD 21804-5020 · (410) 341-3420 · Fax (410) 341-3397
Fax(410) 341-3397
Organization SubpartNo
Authorized OfficialKristine GartlitzVice President · (410) 202-2651
Enumeration DateMarch 23, 2012
Last NPPES UpdateMarch 4, 20254 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
✔ NPI 1780950725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
505 E MAIN ST, Salisbury, MD 21804

Other Names 1

Former Legal Business NameLower Shore Clinic, Inc

Secondary Practice Locations 4

Location 1505 E Main StSalisbury, MD 21804-5020 · Phone (410) 341-3420 ext. 136 · Fax (410) 341-3397
Location 27033 Worcester HwyNewark, MD 21841-2149 · Phone (410) 341-3420
Location 3828 Airpax Rd Ste 600BCambridge, MD 21613-6401 · Phone (410) 341-3420
Location 411559 Somerset AvePrincess Anne, MD 21853-1067 · Phone (410) 341-3420

Other Identifiers 1

Medicaid335475000MD

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healthport is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMarylandEnrollment IDO20051102000426Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Healthport, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 14 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner8
Clinical Social Worker3
Mental Health Counselor3
Psychiatry1

Clinicians, nearest first (15)

Clinical Social Worker
NPI 1750840203
505 E MAIN ST
Salisbury, MD 21804
(410) 341-3420
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1831724475
505 E MAIN ST
Salisbury, MD 21804
(410) 341-3420
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1851990873
505 E MAIN ST
Salisbury, MD 21804
(410) 341-3420
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1609690981
505 E MAIN ST
Salisbury, MD 21804
(410) 341-3420
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1255495511
505 E MAIN ST
Salisbury, MD 21804
(410) 341-3420
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1255908711
505 E MAIN ST
Salisbury, MD 21804
(410) 341-3420
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1164773248
505 E MAIN ST
Salisbury, MD 21804
(410) 341-3420
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1477306603
505 E MAIN ST
Salisbury, MD 21804
(410) 341-3420
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215545116
505 E MAIN ST
Salisbury, MD 21804
(410) 341-3420
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255728648
505 E MAIN ST
Salisbury, MD 21804
(410) 341-3420
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1164790663
505 E MAIN ST
Salisbury, MD 21804
(410) 341-3420
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629515812
505 E MAIN ST
Salisbury, MD 21804
(410) 341-3420
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1649915489
505 E MAIN ST
Salisbury, MD 21804
(410) 341-3420
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1669555462
100 E CARROLL ST
Salisbury, MD 21801
(800) 749-5191
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1841187291
828 AIRPAX RD STE 600B
Cambridge, MD 21613
(410) 341-3420
✔ PECOS✔ Accepts Medicare28 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Healthport's NPI number?

The NPI number for Healthport is 1780950725. It was assigned to this organization in the NPPES registry on March 23, 2012. The provider was formerly known as Lower Shore Clinic, Inc.

Where is Healthport located?

Healthport is located at 505 E Main St, Salisbury, MD 21804. The listed phone number is (410) 341-3420.

What is Healthport's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Healthport enrolled in Medicare?

Yes. Healthport is registered in the Medicare PECOS enrollment system.

When is Healthport's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Maryland, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Healthport?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 4 Medicare specialties reassign their Medicare billing to Healthport. 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. The largest specialties are Nurse Practitioner (8), Clinical Social Worker (3) and Mental Health Counselor (3). Of these, 13 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Healthport was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.