Zachary Tisdale, - Nurse Practitioner in De Kalb, MS

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Zachary Tisdale, is a Nurse Practitioner based in De Kalb, Mississippi. Zachary Tisdale is licensed to practice in Mississippi (license number 907900) and his current practice location is 14365 Highway 16 W, De Kalb, Mississippi. He can be reached at his office (for appointments etc.) via phone at (769) 486-1000.

NPI number for Zachary Tisdale is 1730048794 and his current mailing address is 36 Melissa Loop, Petal, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730048794.

Contact Information

Zachary Tisdale,
14365 Highway 16 W,
De Kalb, MS 39328-7974
(769) 486-1000
Not Available

Map and Direction




Provider's Profile

Full NameZachary Tisdale
GenderMale
SpecialityNurse Practitioner
Location14365 Highway 16 W, De Kalb, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1730048794
  • Provider Enumeration Date: 01/16/2026
  • Last Update Date: 01/16/2026

Medical Identifiers

Medical identifiers for Zachary Tisdale such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730048794NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 907900 (Mississippi)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Zachary Tisdale is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Zachary Tisdale,
36 Melissa Loop,
Petal, MS 39465-6303

Ph: (601) 550-0784		Zachary Tisdale,
14365 Highway 16 W,
De Kalb, MS 39328-7974

Ph: (769) 486-1000

Reviews and Comments


Nurse Practitioner Nurses in De Kalb, MS

Latorya Barron, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 201 Birch St, De Kalb, MS 39328
Phone: 601-743-2642    
Hannah Gray, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 201 Birch St, De Kalb, MS 39328
Phone: 601-743-2643    Fax: 601-553-8175

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.