DR. WILLIAM C JR. TIDMORE (M.D.) – Rheumatology Physician, NPI 1073695292

DR. WILLIAM C JR. TIDMORE (M.D.) is a healthcare provider. based in Tifton, Georgia. specializing in RHEUMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 041978 (GA). The NPI Number for DR. WILLIAM C JR. TIDMORE (M.D.) is 1073695292

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIAM C JR. TIDMORE (M.D.)
NPI
1073695292
Phone
(229) 244-1400
Address
39 Kent Rd Ste 2
Enumeration Date
19 October 2006
Last Update Date
8 September 2020

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
5294723987
Group Practice PAC ID
9032020490
Professional Enrollment ID
I20081003000506
Address ID
IL600268001GL2600XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

186 RHEUMATOLOGY in GA

Provider Addresses for DR. WILLIAM C JR. TIDMORE (M.D.)

  • 39 Kent Rd Ste 2

    Tifton, GA 317941697

    Phone: (229) 244-1400

    Fax: (229) 244-5512

    Type: Location

  • 2412 N Oak St

    Valdosta, GA 316022567

    Phone: (229) 244-1400

    Fax: (229) 244-5512

    Type: Location

  • 2418, North Oak Street, Five Points, Valdosta, Lowndes County, Georgia, 31602, United States

    VALDOSTA, GA 316022576

    Phone: (229) 219-0247

    Fax: (229) 219-0837

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 93 Open Payments records for all available years, with a total value of $1,739.

Total Amount is formed as General ($1,739) + Research ($0) + Ownership ($0) = $1,739.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($495).

Total Amount

$1,739

General + Research + Ownership

Payments

93

Total payment records

General Amount

$1,739

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2008-10-03

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
I20081003000506IRheumatologyGATBD

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
J3262Injection, tocilizumab, 1 mg61,50012$0
J0897Injection, denosumab, 1 mg44,340424$0
J1602Injection, golimumab, 1 mg, for intravenous use17,78121$0
J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)12,75022$0
J9312Injection, rituximab, 10 mg7,80026$0
View full utilization report →

Insurance plans in this area (ZIP 31794)

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Provider's Procedures

DR. WILLIAM C JR. TIDMORE (M.D.) performs procedures in RHEUMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RHEUMATOLOGYGA73110X-ray of wrist, minimum of 3 views1917
RHEUMATOLOGYGA90670Pneumococcal vaccine for injection into muscle2828
RHEUMATOLOGYGA96415Infusion of chemotherapy into a vein38853

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: 9032020490View full group profile

Reviews

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Frequently asked questions

Where can patients find DR. WILLIAM C JR. TIDMORE (M.D.)'s NPI?
You can confirm DR. WILLIAM C JR. TIDMORE (M.D.) with NPI 1073695292; it appears in the national provider directory.
Is DR. WILLIAM C JR. TIDMORE (M.D.) active in the national directory?
DR. WILLIAM C JR. TIDMORE (M.D.)'s public NPI profile is in an active state.
Does DR. WILLIAM C JR. TIDMORE (M.D.) list a primary specialty?
If you are matching referrals, note Rheumatology Physician for DR. WILLIAM C JR. TIDMORE (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. WILLIAM C JR. TIDMORE (M.D.)?
The snapshot lists Tifton, Georgia for DR. WILLIAM C JR. TIDMORE (M.D.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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