Individual provider Active NPI

Morgen Aston Tidwell, NP-C

  • Family Nurse Practitioner
  • Guin, AL
National Provider Identifier
1093391724
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-150866 Issued in AL
Practice address
6150 US Highway 43
Guin, AL 35563-3529
Phone
(205) 468-2754
Fax
(205) 468-3664
NPI assigned
Mar 23, 2021
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-150866 AL Primary

Addresses

Primary practice location

6150 US Highway 43
Guin, AL 35563-3529

Mailing address

6150 US Highway 43
Guin, AL 35563-3529
Phone (205) 468-2754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220124000473 AL Practitioner - Nurse Practitioner 8426440512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miller Family Medicine PCGroup PAC ID 4880188747, 2 clinicians

Practice addresses (Care Compare)

6150 US Hwy 43
Guin, AL 35563-3529
Phone (205) 487-2754

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-150866ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Miller Family Medicine PC CurrentSince Dec 1, 2025 Accepting new patients

Locations

6150 US Highway 43
Guin, AL 35563
Phone (205) 468-2754

Interoperability endpoints

  • Direct secure messaging: morgen.tidwell.1@15135.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1093391724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 US HIGHWAY 43",
            "city": "GUIN",
            "state": "AL",
            "postal_code": "355633529",
            "telephone_number": "205-468-2754",
            "fax_number": "205-468-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 US HIGHWAY 43",
            "city": "GUIN",
            "state": "AL",
            "postal_code": "355633529",
            "telephone_number": "205-468-2754",
            "fax_number": "205-468-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDWELL",
        "first_name": "MORGEN",
        "middle_name": "ASTON",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-150866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guin, AL

Sources for this page

Verify at the official NPI Registry.