NATHAN TIDWELL (D.O.) – Hematology & Oncology Physician, NPI 1780098756
Hematology & Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
348 HEMATOLOGY/ONCOLOGY in GA
Provider Addresses for NATHAN TIDWELL (D.O.)
150 BLUFF AVE # 29841
NORTH AUGUSTA, SC 298413862
Phone: (803) 624-1313
Fax: (803) 426-9236
Type: Mailing
300 W HOSPITAL RD
FORT GORDON, GA 309055741
Phone: (706) 787-0674
Fax: (706) 787-0987
Type: Mailing
300 W Hospital Rd
Fort Eisenhower, GA 309055741
Phone: (706) 787-8668
Fax: (706) 787-7136
Type: Location
150 BLUFF AVE
NORTH AUGUSTA, SC 298413862
Phone: (803) 624-1313
Fax: (803) 426-9236
Type: Mailing
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 782344504
Phone: (210) 916-0658
Fax: (210) 916-3366
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-05-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20250418001347 | I | Hematology/Oncology | SC | TBD |
| I20250514000891 | I | Hematology/Oncology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 29841)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner, Undefined Physician Type (Specify) | SC | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| Obstetrics/Gynecology, Gynecological Oncology | GA | |
| U R O L O G Y | GA | |
| Hematology/Oncology, Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| R H E U M A T O L O G Y | MT | |
| H E M A T O L O G Y/ O N C O L O G Y | GA |
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