Stephen Craig Tidwell, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

046332 Issued in GA

Practice address

1105 Burleyson Rd
Dalton, GA 30720-3017

Phone

(706) 278-4640

Fax

(706) 275-6599

NPI assigned

Sep 26, 2006

Sex

Male

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

University of Tennessee, HSC, College of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Associates in Obstetrics and Gynecology, PCGroup PAC ID 5092701029, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hamilton Medical Center Hospital, Dalton, GA, CCN 110001
• Piedmont Mountainside Hospital Inc Hospital, Jasper, GA, CCN 110225

Merit-based Incentive Payment System (MIPS)

Final score

85.56 of 100Reported as group

Quality

72.74

Improvement activities

40

Cost

88.2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: s.tidwell.1@4044.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/4044/brand/1/csg/1/fhir/r4

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.

• Associates in Obstetrics & Gynecology, PC

  • Obstetrics & Gynecology Physician
  • Dalton, GA
  • NPI 1750482048
  Medicare reassignment Care Compare group NPD
• Hamilton Medical Center, Inc.

  • General Acute Care Hospital
  • Dalton, GA
  • NPI 1528056066
  NPD (past)

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

• Hamilton Medical Center, Inc.

  • General Acute Care Hospital
  • Dalton, GA
  • NPI 1528056066
  Care Compare affiliation
• Hamilton Medical Center, Inc.

  • Psychiatric Hospital Unit
  • Dalton, GA
  • NPI 1760645782
  Care Compare affiliation
• Hamilton Physician Group Inc

  • Cardiovascular Disease Physician
  • Dalton, GA
  • NPI 1235455569

  Hospital

  Care Compare affiliation
• Piedmont Mountainside Hospital, Inc.

  dba Piedmont Mountainside Hospital

  • General Acute Care Hospital
  • Jasper, GA
  • NPI 1780643411
  Care Compare affiliation

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1326149683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 BURLEYSON RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203017",
            "telephone_number": "706-278-4640",
            "fax_number": "706-275-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 BURLEYSON RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203017",
            "telephone_number": "706-278-4640",
            "fax_number": "706-275-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDWELL",
        "first_name": "STEPHEN",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "046332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00812743A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miles Thomas, PHARMD
• Rebecca Thomas, PT
• Todd Thomas, PHARMD
• Janie Lynn Thompson, M.ED, LPC
• Jonathan Richard Thompson, MD
• Timothy C. Dindoffer, M.D., P.C.
• Melissa Ann Tipton, DO
• James L Todd, DDS
• Julen Torrontegui Santin, MD
• Alexandra Marie Townes, MD

• Obstetrics & Gynecology Physician in Dalton, GA
• Providers in Dalton, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.