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DR. WILLIAM C TIDMORE M.D. NPI 1073695292


NPI Information

NPI: 1073695292
Provider Name: DR. WILLIAM C TIDMORE, M.D.
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

PECOS Registration: Yes

Address:
2418 N OAK ST
VALDOSTA, GA
ZIP 31602
Phone: (229) 219-0247
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DR. William C Tidmore, M.D. is a rheumatology internal medicine in Valdosta, GA with 34 years of experience. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. DR. William C Tidmore, M.D. NPI is 1073695292. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

2418 N OAK ST
VALDOSTA, GA
ZIP 31602-576
Phone: (229) 219-0247
Fax: (229) 219-0837

The NPI 1073695292 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, denosumab, 1 mg (HCPCS:J0897)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Infusion of chemotherapy into a vein up to 1 hour (HCPCS:96413)
  • Automated urinalysis test (HCPCS:81003)
  • Hemoglobin a1c level (HCPCS:83036)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • Bone density measurement using dedicated x-ray machine (HCPCS:77080)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Vaccine for influenza for injection into muscle (HCPCS:90662)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour (HCPCS:96365)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
  • Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)

The enumeration date for this NPI number is 10/19/2006 and was last updated on 9/8/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RR0500XInternal MedicineRheumatology041978GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100701027GMEDICAIDGEORGIA
200701027CMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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