Thompson W. Tisdale Jr., PA-C
Individual provider Active NPI Physician Assistant · Hickory, NC
NPI 1285699520 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1285699520
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 100255 (NC)
- Practice address
- 1781 Tate Blvd SE
Suite 201
Hickory, NC 28602-4233 - Phone
- (828) 322-3725
- Fax
- (828) 322-2389
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graystone Ear, Nose and Throat Associates, PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 100255 | NC | Yes |
Addresses
Primary practice location
1781 Tate Blvd SE
Suite 201
Hickory, NC 28602-4233
Mailing address
1781 Tate Blvd SE
Suite 201
Hickory, NC 28602-4233
Phone (828) 322-3725
Other providers in Hickory, NC
- Time As This Therapy PLLC
- Trenton Peter Timmer
- Sarah Lillian Tims
- Sharon Lawanda Tipler
- Sarah Faye Tipton
- Sylvia Tobiasz
- Anthony Evan Todaro
- Kristin Nicole Todd
- Richard Tolbert
- Laurie K Toman
All providers in Hickory, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.