NPIMap

Organization Active NPI

Tidalhealth Atlantic, Inc

Doing business as Atlantic General Hospital Corp

  • General Acute Care Hospital
  • Berlin, MD
National Provider Identifier
1053309120
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
23005 Issued in MD
Legal business name
TIDALHEALTH ATLANTIC, INC
Practice address
9733 Healthway Dr
Berlin, MD 21811-1155
Phone
(410) 641-1100
Fax
(410) 641-9219
NPI assigned
Oct 12, 2005
Last updated
May 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donald Robert Owrey
Title
President
Phone
(410) 641-9601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 23005 MD Primary

Addresses

Primary practice location

9733 Healthway Dr
Berlin, MD 21811-1155

Mailing address

9733 Healthway Dr
Berlin, MD 21811-1155
Phone (410) 641-1100

Other names 1

  • Atlantic General Hospital Corp Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040810000227 MD Part A Provider - Hospital 2365437837 Practice locations: Berlin, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053309120. Details of each certification follow.

Hospital certification: CCN 210061

Legal name
TIDALHEALTH ATLANTIC INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jun 7, 1993
Last certification
Nov 5, 2015
Beds
48
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Apr 12, 1989 in MD
Enrollment address
9733 Healthway Dr
Berlin, MD 21811-1155
Main/Primary Hospital Location
Hospital subgroups
General

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Atlantic General HospitalCCN 210061 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Atlantic General Hospital35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Locations

38394 DuPont Blvd
Unit Fg
Selbyville, DE 19975
Phone (302) 564-0001

10231 Old Ocean City Blvd
Ste 210
Berlin, MD 21811
Phone (410) 629-6870

11017 Racetrack Rd
Berlin, MD 21811

124 N Main St
Ste A
Berlin, MD 21811
Phone (410) 641-2600

314 Franklin Ave
Ste 304
Berlin, MD 21811
Phone (410) 629-1450

9707 Healthway Dr
Berlin, MD 21811
Phone (410) 629-6888

9733 Healthway Dr
Ste 1
Berlin, MD 21811

12308 Ocean Gtwy
Ste 205
Ocean City, MD 21842

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
William Thomas Mears Individual Corporate DirectorBoard Member Nov 1, 2018
Tidalhealth, Inc Organization, Salisbury, MD Holding company Other May 1, 2025 100%
Donald Owrey Individual Corporate OfficerPresident Jun 1, 2022
Christine D Neto Individual Corporate DirectorBoard Member Jun 1, 2024
Greg Shockley Individual Corporate DirectorBoard Member Nov 1, 2016
Jeffrey T Greenwood Individual Corporate DirectorBoard Member Jun 1, 2024
Sloan Trammell Individual W-2 Managing Employee Mar 1, 2026
Aaron Finney Individual Corporate DirectorBoard Member Jun 1, 2020
Todd Ferrante Individual Corporate DirectorBoard Member Oct 1, 2015
Monica Warsaw Individual W-2 Managing Employee Mar 1, 2026
Benny Stover Individual Corporate OfficerSVP, Finance/Cfo of Tidalhealth Mar 1, 2026
Douglass Cook Individual Corporate DirectorBoard Member Nov 1, 2017
Charlotte Cathell Individual Corporate DirectorBoard Member Nov 1, 2016
Steven Sweigert Individual Corporate DirectorBoard Member May 1, 2025
Christopher Woodley Individual Corporate DirectorBoard Member Nov 1, 2018
Voncelia Brown Individual Corporate DirectorBoard Member Nov 1, 2020
Jay Knerr Individual Corporate DirectorBoard Member Nov 1, 2018

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 438

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 438

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1053309120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9733 HEALTHWAY DR",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111155",
            "telephone_number": "410-641-1100",
            "fax_number": "410-641-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9733 HEALTHWAY DR",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111155",
            "telephone_number": "410-641-1100",
            "fax_number": "410-641-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDALHEALTH ATLANTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "OWREY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-641-9601"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MD",
            "license": "23005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic General Hospital Corp",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atlantic General Hospital Corp",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Berlin, MD

Sources for this page

Verify at the official NPI Registry.