Donald Gregory Tisdale Jr. (NPI# 1174006522, PAC ID# 2062751076) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1174006522 |
| PAC ID by PECOS | 2062751076 |
| Professional Enrollment ID | I20190307003176 |
| Full Name | Donald Gregory Tisdale Jr. |
| Organization Legal Name | JACKSON ONCOLOGY ASSOCIATES |
| Address |
1227 N State St Suite 101 Jackson MS 39202-2002 |
| Phone Number | 6013552485 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2860392735 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1227 N State St, Suite 101, Jackson, MS 39202-2002 | 6013552485 | JACKSON ONCOLOGY ASSOCIATES |
| 2969 Curran Dr N, Suite 200, Jackson, MS 39216-4121 | 6019745600 | JACKSON ONCOLOGY ASSOCIATES |
| Organization Legal Name | JACKSON ONCOLOGY ASSOCIATES |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth L Herrington | Internal Medicine | Jackson Oncology Associates | 2368 Grove St, Vicksburg, MS 39183-2857 |
| Tammy H Young | Hematology/oncology | Jackson Oncology Associates | 1227 N State St, Suite 101, Jackson, MS 39202-2002 |
| Angela Hancock Slater | Nurse Practitioner | Jackson Oncology Associates | 1227 N State St, Suite 101, Jackson, MS 39202-2002 |
| Bobby L Graham Jr. | Hematology/oncology | Jackson Oncology Associates | 1227 N State St, Suite 101, Jackson, MS 39202-2002 |
| Bobby S Wilkerson | Hematology/oncology | Jackson Oncology Associates | 1227 N State St, Suite 101, Jackson, MS 39202-2002 |
| Manubhai S. Patel | Hematology/oncology | Jackson Oncology Associates | 1227 N State St, Suite 101, Jackson, MS 39202-2002 |
| Natale T Sheehan | Hematology/oncology | Jackson Oncology Associates | 1227 N State St, Suite 101, Jackson, MS 39202-2002 |
| Ramona M Ball | Nurse Practitioner | Jackson Oncology Associates | 1227 N State St, Suite 101, Jackson, MS 39202-2002 |
| Justin T Baker | Hematology/oncology | Jackson Oncology Associates | 1227 N State St, Suite 101, Jackson, MS 39202-2002 |
| Nicole Cleveland | Hematology/oncology | Jackson Oncology Associates | 1227 N State St, Suite 101, Jackson, MS 39202-2002 |
| Street Address |
1227 N STATE ST SUITE 101 |
| City | JACKSON |
| State | MS |
| Zip | 39202-2002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammy H Young | Hematology/oncology | Jackson Oncology Associates | 1227 N State St, Suite 101, Jackson, MS 39202-2002 |
| Angela Hancock Slater | Nurse Practitioner | Jackson Oncology Associates | 1227 N State St, Suite 101, Jackson, MS 39202-2002 |
| Bobby L Graham Jr. | Hematology/oncology | Jackson Oncology Associates | 1227 N State St, Suite 101, Jackson, MS 39202-2002 |
| Bobby S Wilkerson | Hematology/oncology | Jackson Oncology Associates | 1227 N State St, Suite 101, Jackson, MS 39202-2002 |
| Manubhai S. Patel | Hematology/oncology | Jackson Oncology Associates | 1227 N State St, Suite 101, Jackson, MS 39202-2002 |
| Natale T Sheehan | Hematology/oncology | Jackson Oncology Associates | 1227 N State St, Suite 101, Jackson, MS 39202-2002 |
| Ramona M Ball | Nurse Practitioner | Jackson Oncology Associates | 1227 N State St, Suite 101, Jackson, MS 39202-2002 |
| Justin T Baker | Hematology/oncology | Jackson Oncology Associates | 1227 N State St, Suite 101, Jackson, MS 39202-2002 |
| Nicole Cleveland | Hematology/oncology | Jackson Oncology Associates | 1227 N State St, Suite 101, Jackson, MS 39202-2002 |
| Guangzhi Qu | Hematology/oncology | Jackson Oncology Associates | 1227 N State St, Suite 101, Jackson, MS 39202-2002 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael C Livingston | Obstetrics/gynecology | 501 Marshall St, Suite 501, Jackson, MS 39202-1615 | |
| Gina E Heath | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| George Edward Copeland Iii | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Erin R Cummins | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Anthony Bedear Petro | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Jason G Murphy | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Nathan Dudley Maples | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Andrew Currier Mallette | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Alexander John Haick | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Martha D Dickens | Family Practice | Medical Foundation of Central Mississippi Inc | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Find all physicians in zip 39202 | |||
| City | JACKSON |
| Zip Code | 39202 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JACKSON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Donald Gregory Tisdale Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.