Christopher K Tidwell, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

054351 Issued in GA

Practice address

1538 13TH Ave
C100
Columbus, GA 31901-1595

Phone

(706) 494-7000

Fax

(706) 494-7011

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

66.35 of 100Reported as individual

Quality

100

Improvement activities

0

Cost

77.1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Christopher K. Tidwell, M.D., P.C.

  • Pulmonary Disease Physician
  • Columbus, GA
  • NPI 1265647424

  Internal Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1114032323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 13TH AVENUE",
            "address_2": "SUITE C100",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011595",
            "telephone_number": "706-494-7000",
            "fax_number": "706-494-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 13TH AVE",
            "address_2": "C100",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011595",
            "telephone_number": "706-494-7000",
            "fax_number": "706-494-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDWELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "054351",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "054351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "551575810A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Threats
• Teresa Threatt
• Barbara Jean Thrower
• Cyd Thurman
• Titilayo Tiamiyu, RN
• Serena Davis Tidwell, M.D.
• Thomas Jackson Tidwell, M.D.
• Lydia Tiggs, RBT
• Dennis Tillman
• Otis Edward Tillman Jr., M.D.

• Pulmonary Disease Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Pulmonary Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.