LEE ANN TIDMAN (CNP) – Nurse Practitioner, NPI 1316947260
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for LEE ANN TIDMAN (CNP)
101 RIVERSTONE VIS
BLUE RIDGE, GA 305136648
Phone: (706) 632-4400
Fax: (706) 632-4404
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 89 Open Payments records for all available years, with a total value of $1,558.
Total Amount is formed as General ($1,558) + Research ($0) + Ownership ($0) = $1,558.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Kowa Pharmaceuticals America, Inc. ($195).
Total Amount
$1,558
General + Research + Ownership
Payments
89
Total payment records
General Amount
$1,558
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kowa Pharmaceuticals America, Inc. | $195 |
| ABBVIE INC. | $181 |
| Antares Pharma, Inc. | $134 |
| SANOFI-AVENTIS U.S. LLC | $63 |
| Sumitomo Pharma America, Inc. | $63 |
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: 2007-07-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070723000439 | I | Nurse Practitioner | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 765 | 291 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 196 | 134 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 56 | 56 | $0 |
Insurance plans in this area (ZIP 30513)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | GA | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 29 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.