NPI age
19 years
Enumerated 2006-05-28
● Active
Type 1 · Individual
Leslie G Tidwell, MD
Tidwell is 1 of 184 family medicine providers in MacOn and 1 of 5448 in Georgia.
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-03-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5448 active family medicine providers in Georgia.
NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
1
In the 26% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Practice location
3448 Vineville Ave
MacOn, GA 312041867
Mailing address
3448 Vineville Ave
MacOn, GA 312041867
Additional practice locations
1 secondary location on file with NPPES.
Location 2
200 S Houston Lake Rd
Warner Robins, GA 310889006
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
-
Obstetrics & GynecologyAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000866907A | |
| 05 (GA) | 000866907B | |
| 01 (GA) | 202I169707 | MEDICARE ID |
| 01 (GA) | GRP7599 | MEDICARE PIN |
Practice context
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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