Individual provider Active NPI

Nathan Tidwell, D.O.

  • Hematology & Oncology Physician
  • North Augusta, SC
National Provider Identifier
1780098756
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
75019 Issued in GA
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

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250418001347 SC Practitioner - Hematology/Oncology 4082933304 Reassigns benefits to 1 organization
I20250514000891 GA Practitioner - Hematology/Oncology 4082933304 Reassigns benefits to 1 organization

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 PCGroup PAC ID 8921089756, shared by 2 NPIs, 36 clinicians

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 Hospital, Augusta, GA, CCN 110028
  • Aiken Regional Medical Center Hospital, Aiken, SC, CCN 420082
  • Doctors Hospital Hospital, Augusta, GA, CCN 110177
  • Baxter Health Hospital, Mountain Home, AR, CCN 040027
  • Wellstar MCG Health, Affiliated With Med Col Hospital, Augusta, GA, CCN 110034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
075019GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Oncology Associates PC Hematology & Oncology CurrentSince May 1, 2025 Accepting new patients
Augusta Oncology Associates PC Hematology & Oncology CurrentSince May 1, 2025 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.

Hospital & facility affiliations 8

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

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

Verify at the official NPI Registry.