Madeline Drummond Tidwell, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

123794 Issued in GA

Practice address

15 Professional CT SW
Rome, GA 30165-2844

Phone

(706) 291-0555

NPI assigned

Jun 30, 2025

Last updated

Jun 30, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hortman Carney Dental, Inc.

  • Dental Clinic/Center
  • Rome, GA
  • NPI 1295883569
  NPD (past)

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1497644140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1594 SUGAR VALLEY RD SW",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301205603",
            "telephone_number": "706-266-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PROFESSIONAL CT SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652844",
            "telephone_number": "706-291-0555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5490 Martha Berry Hwy NE",
            "address_purpose": "LOCATION",
            "city": "Armuchee",
            "state": "GA",
            "postal_code": "301052302",
            "country_code": "US",
            "telephone_number": "706-203-5735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIDWELL",
        "first_name": "MADELINE",
        "middle_name": "DRUMMOND",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "123794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earnest Keith Thompson, PT
• Theron Wayne Thompson, MD
• Three Rivers Housing and Development Corporation (Three Rivers Home Supports and Services)
• Three Rivers Pediatric Therapy
• Ashley Alexandra Thurstin, DO
• Jason Jason Tiedemann, PARAMEDIC
• Traci M. Tillery, FNP
• Karen P. Timberlake, M.D.
• Joel D. Todino, M.D.
• Tolbert Eye Center

• General Practice Dentistry in Rome, GA
• Providers in Rome, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.