OrganizationActive
Tidalhealth Primary Care, LLC
NPI 1952263014 · Pediatrics Physician · Berlin, MD
Tidalhealth Primary Care, LLC is a Pediatrics Physician organization in Berlin, MD (NPI 1952263014).
Provider details
- NPI number
- 1952263014
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sloan Trammell, Credentialing Manager(410) 912-6989
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10614 Racetrack Rd Unit 1
Berlin, MD 21811-3383
Phone: (443) 728-1004
Street-level locationGet directions
Mailing address
Po Box 825474
Philadelphia, PA 19182-5474
Registry dates
- Enumerated
- 2025-11-26
- Last updated
- 2025-11-26
- Certified
- 2025-11-26
Frequently asked questions
- What is Tidalhealth Primary Care, LLC's NPI number?
- Tidalhealth Primary Care, LLC's National Provider Identifier (NPI) is 1952263014, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidalhealth Primary Care, LLC?
- Tidalhealth Primary Care, LLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Tidalhealth Primary Care, LLC located?
- Tidalhealth Primary Care, LLC's practice location on file with NPPES is 10614 Racetrack Rd Unit 1, Berlin, MD 21811-3383.
- What is Tidalhealth Primary Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Tidalhealth Primary Care, LLC is (443) 728-1004.
- Who is the authorized official for Tidalhealth Primary Care, LLC?
- The authorized official listed on Tidalhealth Primary Care, LLC's NPPES record is Sloan Trammell, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidalhealth Primary Care, LLC's NPI active?
- Yes — Tidalhealth Primary Care, LLC's NPI (1952263014) is active in the NPPES registry as of the last update on 2025-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.