Amber N Tidwell (NPI# 1073862751, PAC ID# 6507018389) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1073862751 |
| PAC ID by PECOS | 6507018389 |
| Professional Enrollment ID | I20121129000456 |
| Full Name | Amber N Tidwell |
| Organization Legal Name | PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH |
| Address |
1206 Franklin Pkwy Franklin GA 30217-7508 |
| Phone Number | 7066756399 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5193712073 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1206 Franklin Pkwy, Franklin, GA 30217-7508 | 7066756399 | PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH |
| 756 Woodbury Rd, Greenville, GA 30222-1514 | 7066721118 | PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH |
| 244 Odell Rd, Suite 6, Griffin, GA 30224-4878 | 7702293407 | PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH |
| 124 Gordon Commercial Dr, Lagrange, GA 30240-5740 | 7068454065 | PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH |
| Organization Legal Name | PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda Joy Knight- Nelson | Psychiatry | Pathways Center for Behavioral and Developmental Growth | 153 Independence Dr, Carrollton, GA 30116-9000 |
| Allen Lavender Jr. | Psychiatry | Pathways Center for Behavioral and Developmental Growth | 756 Woodbury Rd, Greenville, GA 30222-1514 |
| Debora S Johnson | Psychiatry | Pathways Center for Behavioral and Developmental Growth | 122 Gordon Commercial Dr C, Lagrange, GA 30240-5754 |
| Donald Manning | Psychiatry | Pathways Center for Behavioral and Developmental Growth | 124 Gordon Commercial Dr, Lagrange, GA 30240-5740 |
| Franchon R Scales | Physician Assistant | Pathways Center for Behavioral and Developmental Growth | 756 Woodbury Rd, Greenville, GA 30222-1514 |
| Nicole D Knight | Nurse Practitioner | Pathways Center for Behavioral and Developmental Growth | 756 Woodbury Rd, Greenville, GA 30222-1514 |
| Ranga P Rao | Psychiatry | Pathways Center for Behavioral and Developmental Growth | 756 Woodbury Rd, Greenville, GA 30222-1514 |
| Rugiatu Bahr | Nurse Practitioner | Pathways Center for Behavioral and Developmental Growth | 756 Woodbury Rd, Greenville, GA 30222-1514 |
| Lauren E Hornsby | Nurse Practitioner | Pathways Center for Behavioral and Developmental Growth | 124 Gordon Commercial Dr, Lagrange, GA 30240-5740 |
| Kalene Mcswain-faulkner | Clinical Social Worker | Pathways Center for Behavioral and Developmental Growth | 1206 Franklin Pkwy, Franklin, GA 30217-7508 |
| Street Address |
1206 FRANKLIN PKWY |
| City | FRANKLIN |
| State | GA |
| Zip | 30217-7508 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kalene Mcswain-faulkner | Clinical Social Worker | Pathways Center for Behavioral and Developmental Growth | 1206 Franklin Pkwy, Franklin, GA 30217-7508 |
| City | FRANKLIN |
| Zip Code | 30217 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FRANKLIN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Amber N Tidwell.
| 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.