Active NPI
Nathan Tidwell, D.O.
- Hematology & Oncology Physician
- North Augusta, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 75019
- Practice address
- 150 Bluff Ave
North Augusta, SC 29841-3862 - Phone
- (803) 624-1313
- Fax
- (803) 426-9236
- NPI assigned
- Jun 17, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 075019 | GA | |
| Hematology & Oncology Physician | 207RH0003X | 75019 | GA | Primary |
Addresses
Primary practice location
150 Bluff Ave
North Augusta, SC 29841-3862
Mailing address
150 Bluff Ave
North Augusta, SC 29841-3862
Phone (803) 624-1313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Augusta Oncology Associates PC
Practice addresses (Care Compare)
150 Bluff Ave
North Augusta, SC 29841-3862
Phone (706) 736-1830
3696 Wheeler Rd
Augusta, GA 30909-6520
Phone 7067361830213
Hospital & facility affiliations
- Piedmont Augusta Hospital
- Aiken Regional Medical Center
- Doctors Hospital
- Baxter Health
- Wellstar MCG Health, Affiliated With Med Col
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 075019 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Augusta Oncology Associates PC | Hematology & Oncology | Current | Accepting new patients |
| Augusta Oncology Associates PC | Hematology & Oncology | Current | Accepting new patients |
Locations
3696 Wheeler Rd
Augusta, GA 30909
Phone (706) 736-1830
222 University Pkwy
Aiken, SC 29801
Phone (706) 736-1830
150 Bluff Ave
Ste 2000
North Augusta, SC 29841
Phone (803) 624-1313
150 Bluff Ave
North Augusta, SC 29841
Phone (706) 736-1830
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- Augusta, GA
- NPI 1912917824
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aiken, SC
- NPI 1447437157
-
- General Acute Care Hospital
- Aiken, SC
- NPI 1467448498
-
- Neurological Surgery Physician
- Aiken, SC
- NPI 1942610928
Hospital
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1437135902
-
- General Acute Care Hospital
- Mountain Home, AR
- NPI 1033147921
-
- General Acute Care Hospital
- Mountain Home, AR
- NPI 1881788933
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1912951963
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1588665566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1780098756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 BLUFF AVE",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298413862",
"telephone_number": "803-624-1313",
"fax_number": "803-426-9236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 BLUFF AVE",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298413862",
"telephone_number": "803-624-1313",
"fax_number": "803-426-9236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIDWELL",
"first_name": "NATHAN",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-17",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "075019",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "GA",
"license": "75019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Augusta, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.