Lee Ann Tidman, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN043489 Issued in GA

Practice address

101 Riverstone Vis
Suite 205
Blue Ridge, GA 30513-6648

Phone

(706) 632-4400

Fax

(706) 632-4404

NPI assigned

Jul 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Ridge Concierge Medicine LLCGroup PAC ID 0244643666, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountain Home Health Services Home health agency, Hayesville, NC, CCN 347033
• Union General Hospital Hospital, Blairsville, GA, CCN 110051
• Blue Ridge Medical Center Hospital, Blue Ridge, GA, CCN 111338
• Erlanger Murphy Medical Center Hospital, Murphy, NC, CCN 341328
• Chatuge Regional Hospital Hospital, Hiawassee, GA, CCN 111324

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ltidman@yourcarecommunity.org

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.

• Blue Ridge Concierge Medicine LLC

  • Family Medicine Physician
  • Blue Ridge, GA
  • NPI 1013504174
  Medicare reassignment Care Compare group NPD

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

• Blue Ridge Georgia Hospital Company LLC

  • Critical Access Hospital
  • Blue Ridge, GA
  • NPI 1851362263
  Care Compare affiliation
• Chatuge Regional Hospital Inc

  • Critical Access Hospital
  • Hiawassee, GA
  • NPI 1326028978
  Care Compare affiliation
• Union County Hospital Authority

  • General Acute Care Hospital
  • Blairsville, GA
  • NPI 1487684122
  Care Compare affiliation
• Mountain Home Health Services, LLC

  • Home Health Agency
  • Hayesville, NC
  • NPI 1164811550
  Care Compare affiliation
• Murphy Medical Center Inc

  • Critical Access Hospital
  • Murphy, NC
  • NPI 1801831102
  Care Compare affiliation

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1316947260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERSTONE VIS",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136648",
            "telephone_number": "706-632-4400",
            "fax_number": "706-632-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIVERSTONE VIS",
            "address_2": "SUITE 205",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136648",
            "telephone_number": "706-632-4400",
            "fax_number": "706-632-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDMAN",
        "first_name": "LEE",
        "middle_name": "ANN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN043489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000498165F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ten Dental LLC
• The Atlanta Cardiology Group, PC
• Candyce Jaye Thompson, DDS
• Kathryn Marie Thompson, MS
• Crista Thoresen, PT
• Raymond Eugene Tidman, MD
• Megan Alyssa Towe, FNP-C
• Tami Ayala Tran, APRN
• Frank Stanson Trigg, M.D.
• Trilogy Integrated Health Care

• Nurse Practitioner in Blue Ridge, GA
• Providers in Blue Ridge, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.