P Praxis·MD
● Active Type 1 · Individual

DR. Thomas Jackson Tidwell, M.D.

Clinic/Center·Columbus, GA· NPI 1578658670 · Enumerated 2006 · 19 years on NPI
Tidwell is 1 of 4 clinic/center providers in Columbus and 1 of 18 in Georgia.
NPI age
19 years
Enumerated 2006-10-04
Primary specialty
Clinic/Center
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-10-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 18 active clinic/center providers in Georgia.

NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
2121 Warm Springs Rd Ste B
Columbus, GA 319047954
📞 7066608121fax 7063234205
Mailing address
2121 Warm Springs Rd Ste B
Columbus, GA 319047954
📞 7066608121fax 7063234205

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #18964 taxonomy 261QX0203X

Identifiers

TypeValueNotes
05 (GA) 300028978A

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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