| Dr William C Tidmore Jr, MD | |
|
2418 N Oak St, Valdosta, GA 31602-2576 | |
| (229) 219-0247 | |
| (229) 219-0837 |
| Full Name | Dr William C Tidmore Jr |
|---|---|
| Gender | Male |
| Speciality | Rheumatology |
| Experience | 35 Years |
| Location | 2418 N Oak St, Valdosta, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073695292 | NPI | - | NPPES |
| 00701027C | Medicaid | GA | |
| 00701027G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RR0500X | Internal Medicine - Rheumatology | 041978 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Suncrest Home Health | Adel, GA | Home health agency |
| South Georgia Medical Center | Valdosta, GA | Hospital |
| Tift Regional Medical Center | Tifton, GA | Hospital |
| Crisp Regional Hospital | Cordele, GA | Hospital |
| Phoebe Putney Memorial Hospital | Albany, GA | Hospital |
| Colquitt Regional Medical Center | Moultrie, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valdosta Family Medicine Associates, P.c. | 5991791683 | 31 |
| Entity Name | Valdosta Family Medicine Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114003779 PECOS PAC ID: 5991791683 Enrollment ID: O20040420001241 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William C Tidmore Jr, MD 2418 N Oak St, Valdosta, GA 31602-2576 Ph: (229) 219-0247 | Dr William C Tidmore Jr, MD 2418 N Oak St, Valdosta, GA 31602-2576 Ph: (229) 219-0247 |
Dr. Asma Yasin, MBBS Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4178 | |
Dr. Nikolay Gogin, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4131 | |
Dr. Felix G Valdez, MD Rheumatology Medicare: May Accept Medicare Assignments Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4501 Fax: 229-259-4502 | |
Dr. Moriamo Adedoyin Fashugba, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-433-1000 | |
Zubair Akram, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-433-1000 | |
Dr. Gerald S Light, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 3564b Northcrossing Cir, Valdosta, GA 31602 Phone: 229-247-1414 Fax: 229-247-1978 |