TIDALHEALTH PRIMARY CARE, LLC – NPI #1255150520
Family Medicine

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.

Health Care Provider Taxonomy Code for Family Medicine

TIDALHEALTH PRIMARY CARE, LLC is a provider located in POCOMOKE CITY, MD. NPPES has assigned the NPI number 1255150520 to TIDALHEALTH PRIMARY CARE, LLC on October 04, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Jul 22, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TIDALHEALTH PRIMARY CARE, LLC below.

NPI Profile for
TIDALHEALTH PRIMARY CARE, LLC

NPI Number
1255150520
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TIDALHEALTH PRIMARY CARE, LLC
Primary location
305 10TH ST STE 101
POCOMOKE CITY, MD 21851-1607
Phone: (410) 912-6167 Fax:
Mailing address
PO BOX 825474
PHILADELPHIA, PA 19182-5474
Phone: (410) 912-6989 Fax: (410) 912-4972
Organization Subpart
No
Authorized Official
WILLIAM PELOT
CHIEF ADMINISTRATOR OFFICER
Phone: (410) 543-7497
Updated
Certification Date
Jul 22, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.