Organization Active NPI

Primary Coastal Care LLC

  • Family Medicine Physician
  • Nottingham, MD
National Provider Identifier
1275498776
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMARY COASTAL CARE LLC
Practice address
8114 Sandpiper Cir Ste 214
Nottingham, MD 21236-5902
Phone
(443) 218-3118
Fax
(410) 449-4291
NPI assigned
Dec 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Ms. Aisha Mian
Title
Ceo
Phone
(443) 218-3118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8114 Sandpiper Cir Ste 214
Nottingham, MD 21236-5902

Mailing address

8114 Sandpiper Cir Ste 214
Nottingham, MD 21236-5902
Phone (443) 218-3118

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260514001141 MD Part B Supplier - Clinic/Group Practice 7113496647 Receives reassigned benefits from 1 practitioner
Practice locations: Nottingham, MD

National Provider Directory

National Provider Directory

Locations

8114 Sandpiper Cir
Ste 214
Nottingham, MD 21236
Phone (443) 218-3118

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1275498776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8114 SANDPIPER CIR STE 214",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212365902",
            "telephone_number": "443-218-3118",
            "fax_number": "410-449-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8114 SANDPIPER CIR STE 214",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212365902",
            "telephone_number": "443-218-3118",
            "fax_number": "410-449-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY COASTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-17",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "MIAN",
        "authorized_official_first_name": "AISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-218-3118",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.