Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tidalhealth Primary Care, LLC

Organization Family Medicine Physician · NPI 1255198214

Tidalhealth Primary Care, LLC is a Family Medicine Physician in Salisbury, Maryland. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 E Carroll St
Salisbury, MD 21801-5422
Phone: (410) 546-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Community Health Clinic/Center Taxonomy 261QC1500X

Record details

NPI number1255198214
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Pelot — Chief Administrator Officer · (410) 543-7497
Other names Tidalhealth Community Wellness
NPI enumeratedMarch 5, 2024
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing address100 E Carroll St, Salisbury, MD 21801-5422

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