NPIMap

Organization Active NPI

Mid Atlantic Primary Care

  • Family Nurse Practitioner
  • Pocomoke City, MD
National Provider Identifier
1487518361
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MID ATLANTIC PRIMARY CARE
Practice address
500 Market St Ste 102
Pocomoke City, MD 21851-1171
Phone
(410) 749-6833
Fax
(410) 749-5139
NPI assigned
Dec 15, 2025
Organization subpart
Yes
Parent organization
MID ATLANTIC PRIMARY CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Traci Ann Church, DNPNPI 1710380621
Title
Owner
Phone
(410) 749-6833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

500 Market St Ste 102
Pocomoke City, MD 21851-1171

Mailing address

500 Market St Ste 102
Pocomoke City, MD 21851-1171
Phone (410) 749-6833

National Provider Directory

National Provider Directory
Part of
Mid Atlantic Primary Care

Locations

500 Market St
Ste 102
Pocomoke City, MD 21851
Phone (410) 749-6833

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1765756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1487518361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MARKET ST STE 102",
            "city": "POCOMOKE CITY",
            "state": "MD",
            "postal_code": "218511171",
            "telephone_number": "410-749-6833",
            "fax_number": "410-749-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARKET ST STE 102",
            "city": "POCOMOKE CITY",
            "state": "MD",
            "postal_code": "218511171",
            "telephone_number": "410-749-6833",
            "fax_number": "410-749-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ATLANTIC PRIMARY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID ATLANTIC PRIMARY CARE",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-749-6833",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocomoke City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.