TDMD Primary Care PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

TDMD PRIMARY CARE PLLC

Practice address

1001 Pemberton Hill Rd Ste 202
Apex, NC 27502-4265

Phone

(919) 760-5228

NPI assigned

Apr 12, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Thusitha R Dissanayake, MDNPI 1073810537

Title

Owner/Managing Memeber

Phone

(919) 760-5228

Specialties & licenses 1

Addresses

Other names 1

• TDMD Primary Care Other name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23824/brand/1/csg/1/fhir/r4

Practitioners 3

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

• Thusitha Ruwan Dissanayake, MD

  • Internal Medicine Physician
  • Apex, NC
  • NPI 1073810537
  Medicare reassignment Authorized official
• Maliaka Kai Jones, MSN, RN, NP, ANP-BC

  • Adult Health Nurse Practitioner
  • Raleigh, NC
  • NPI 1396954103
  Medicare reassignment NPD
• Sangini N Rane, PT

  • Physical Therapist
  • Apex, NC
  • NPI 1306898978
  NPD (past)

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618617600000",
    "number": "1629658802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S ALODIE CT",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275025235",
            "telephone_number": "919-760-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PEMBERTON HILL RD STE 202",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024265",
            "telephone_number": "919-760-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDMD PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-17",
        "certification_date": "2021-04-17",
        "status": "A",
        "authorized_official_last_name": "DISSANAYAKE",
        "authorized_official_first_name": "THUSITHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMEBER",
        "authorized_official_telephone_number": "919-760-5228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TDMD Primary Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tarheel Family Care PA
• Casey Palmer Taska, MED BCBA
• Julie Christine Taylor, DDS
• Kristen Curfman Taylor, RD, LDN
• Morgan Lee Taylor, CPNP
• Michelle Marie Teal
• Rosemary Tegen, MS, CCC-SLP
• Stacy Robin Telli, MSW, LCSW
• The Creative Smile Center
• The Legend LLC

• Primary Care Clinic/Center in Apex, NC
• Providers in Apex, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.