DR. SERENA DAVIS TIDWELL (M.D.) – Specialist, NPI 1033141031

DR. SERENA DAVIS TIDWELL (M.D.) is a healthcare provider. based in Columbus, Georgia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 051192 (GA). The NPI Number for DR. SERENA DAVIS TIDWELL (M.D.) is 1033141031

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. SERENA DAVIS TIDWELL (M.D.)
NPI
1033141031
Phone
(706) 320-2547
Address
1538 13TH AVE
Enumeration Date
7 July 2006
Last Update Date
17 March 2011

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7063202547
Graduation Year
1998 (28 years ago)
PAC ID
6002908399
Group Practice PAC ID
9931291226
Professional Enrollment ID
I20111109000073
Address ID
GA319012546CO1538XAVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,266 OBSTETRICS/GYNECOLOGY in GA

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Provider Addresses for DR. SERENA DAVIS TIDWELL (M.D.)

  • 1538, 13th Avenue, East Highlands, Columbus, Muscogee County, Georgia, 31901, United States

    SUITE C 200

    COLUMBUS, GA 319011956

    Phone: (706) 320-2547

    Fax: (706) 320-2549

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $2,224.

Total Amount is formed as General ($2,224) + Research ($0) + Ownership ($0) = $2,224.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($1,908).

Total Amount

$2,224

General + Research + Ownership

Payments

24

Total payment records

General Amount

$2,224

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-11-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111109000073IObstetrics/GynecologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes140127$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit122122$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination7474$0
99214Established patient office or other outpatient visit, 30-39 minutes6853$0
76830Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina2824$0
View full utilization report →

Insurance plans in this area (ZIP 31901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931291226View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
Diagnostic Radiology, Interventional RadiologyAL
Family PracticeCO
O B S T E T R I C S/ G Y N E C O L O G YGA
Family PracticeGA
O B S T E T R I C S/ G Y N E C O L O G YGA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. SERENA DAVIS TIDWELL (M.D.)?
NPI 1033141031 is assigned to DR. SERENA DAVIS TIDWELL (M.D.) under the national enumeration system.
Is DR. SERENA DAVIS TIDWELL (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. SERENA DAVIS TIDWELL (M.D.) treat or focus on?
Patients typically see DR. SERENA DAVIS TIDWELL (M.D.) under the specialty Other Service Providers. Clinical services aligned with this taxonomy classification.
What location shows for DR. SERENA DAVIS TIDWELL (M.D.)?
We surface Columbus, Georgia for DR. SERENA DAVIS TIDWELL (M.D.) based on available NPPES addresses.
What if Columbus, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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