Jon Thomas Tisdale, MSM, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1771 Issued in TN

Practice address

3000 Edward Curd LN
Franklin, TN 37067-5791

Phone

(615) 791-2630

Fax

(615) 791-2639

NPI assigned

Oct 20, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bone and Joint Institute of Tennessee IncGroup PAC ID 9234491259, 86 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Williamson Medical Center Hospital, Franklin, TN, CCN 440029
• Maury Regional Hospital Hospital, Columbia, TN, CCN 440073
• Southern Tennessee Regional Health System Winchest Hospital, Winchester, TN, CCN 440058

Merit-based Incentive Payment System (MIPS)

Final score

78.6 of 100Reported as group

Quality

60.13

Promoting interoperability

99

Improvement activities

40

Cost

69.36

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jon.tisdale.1@21476.direct.athenahealth.com

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.

• Bone and Joint Institute of Tennessee Inc

  • Orthopaedic Surgery Physician
  • Franklin, TN
  • NPI 1447758933
  Medicare reassignment Care Compare group
• Bone and Joint Institute of Tennessee Inc

  • Orthopaedic Surgery Physician
  • Spring Hill, TN
  • NPI 1558115402

  Physician Assistant

  NPD

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

• Maury Regional Hospital

  • Clinic/Center
  • Hohenwald, TN
  • NPI 1023038122

  Hospital

  Care Compare affiliation
• Maury Regional Hospital

  • General Acute Care Hospital
  • Columbia, TN
  • NPI 1861479545
  Care Compare affiliation
• Southern Tennessee Medical Center LLC

  • General Acute Care Hospital
  • Winchester, TN
  • NPI 1467408781
  Care Compare affiliation
• Williamson County Hospital District

  • General Acute Care Hospital
  • Franklin, TN
  • NPI 1265445506
  Care Compare affiliation

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1982930301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 EDWARD CURD LN",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675791",
            "telephone_number": "615-791-2630",
            "fax_number": "615-791-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 EDWARD CURD LN",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675791",
            "telephone_number": "615-791-2630",
            "fax_number": "615-791-2639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4323 Carothers Pkwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370675973",
            "country_code": "US",
            "telephone_number": "615-791-2630",
            "fax_number": "615-791-2639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TISDALE",
        "first_name": "JON",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "MSM, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-20",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "1771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Chacko Tiemann, MPAS, PA-C
• James A. Tilley, O.D.
• Tilstra Physical Therapy, LLC
• Lindsay Rae Tincher, PHARMD
• Robert Lane Tippens, M.D.
• William D Tissot, MD
• Daphne Caroline Titus, APRN
• Mary Tjader, AU.D.
• TLC Medical Oxygen & Hospital Equipment, Inc.
• TMS Medical Group of Franklin, LLC

• Surgical Physician Assistant in Franklin, TN
• Providers in Franklin, TN by specialty
• Surgical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.