Lee Ann Tidman (NPI# 1316947260, PAC ID# 9537260450) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1316947260 |
| PAC ID by PECOS | 9537260450 |
| Professional Enrollment ID | I20070723000439 |
| Full Name | Lee Ann Tidman |
| Organization Legal Name | HIDDEN VALLEY MEDICAL CENTER INC |
| Address |
101 Riverstone Vis Blue Ridge GA 30513-6648 |
| Phone Number | 7066328008 |
| Gender | F |
| Graduation Year | 1992 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5799768248 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110189 | FANNIN REGIONAL HOSPITAL |
| 110051 | UNION GENERAL HOSPITAL |
| 341328 | MURPHY MEDICAL CENTER INC |
| Address | Phone | Organization |
|---|---|---|
| 101 Riverstone Vis, Blue Ridge, GA 30513-6648 | 7066328008 | HIDDEN VALLEY MEDICAL CENTER INC |
| 101 Riverstone Vis, Suite 207, Blue Ridge, GA 30513-6668 | 7069464210 | HIDDEN VALLEY MEDICAL CENTER INC |
| Organization Legal Name | HIDDEN VALLEY MEDICAL CENTER INC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shayne Squires | Internal Medicine | Hidden Valley Medical Center Inc | 2855 Old Hwy 5 105, Blue Ridge, GA 30513-6239 |
| Richard L Tanner | Internal Medicine | Hidden Valley Medical Center Inc | 2855 Old Hwy 5 N, Suite 111, Blue Ridge, GA 30513-6239 |
| Camille Y Ledford | Nurse Practitioner | Hidden Valley Medical Center Inc | 101 Riverstone Vis, Suite 111, Blue Ridge, GA 30513-6665 |
| Elias G Issa | Emergency Medicine | Hidden Valley Medical Center Inc | 2855 Old Hwy 5 105, Blue Ridge, GA 30513-6239 |
| Lindsey Panter Niknezhad | Physician Assistant | Hidden Valley Medical Center Inc | 2855 Old Hwy 5 105, Blue Ridge, GA 30513-6239 |
| Kenneth D Wenslow | Physician Assistant | Hidden Valley Medical Center Inc | 2855 Old Hwy 5 105, Blue Ridge, GA 30513-6239 |
| Hamidreza Doroodchi | Orthopedic Surgery | Hidden Valley Medical Center Inc | 2855 Old Hwy 5 105, Blue Ridge, GA 30513-6239 |
| Paula Watkins Millhouse | Nurse Practitioner | Hidden Valley Medical Center Inc | 101 Riverstone Vis, Blue Ridge, GA 30513-6648 |
| Joshua David Curtis | Nurse Practitioner | Hidden Valley Medical Center Inc | 2855 Old Hwy 5 105, Blue Ridge, GA 30513-6239 |
| Nathan William Kincaid | General Surgery | Hidden Valley Medical Center Inc | 2855 Old Hwy 5 N, Suite 108, Blue Ridge, GA 30513-6239 |
| Street Address |
101 RIVERSTONE VIS |
| City | BLUE RIDGE |
| State | GA |
| Zip | 30513-6648 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Camille Y Ledford | Nurse Practitioner | Hidden Valley Medical Center Inc | 101 Riverstone Vis, Suite 111, Blue Ridge, GA 30513-6665 |
| Jamie Beth Raisor | Nurse Practitioner | Skin Cancer and Cosmetic Dermatology Center PC | 101 Riverstone Vis, Suite 215, Blue Ridge, GA 30513-6665 |
| Patrick Martin | Physician Assistant | Skin Cancer and Cosmetic Dermatology Center PC | 101 Riverstone Vis, Suite 215, Blue Ridge, GA 30513-6665 |
| Justin D Nicholson | Nurse Practitioner | Nsh Cancer Institute Professional Services G LLC | 101 Riverstone Vis, Suite 102, Blue Ridge, GA 30513-6630 |
| Paula Watkins Millhouse | Nurse Practitioner | Hidden Valley Medical Center Inc | 101 Riverstone Vis, Blue Ridge, GA 30513-6648 |
| Philip Mills | Dermatology | Blue Ridge Dermatology | 101 Riverstone Vis, Suite 215, Blue Ridge, GA 30513-6665 |
| Coe M Mcgrath | Physician Assistant | Skin Cancer and Cosmetic Dermatology Center PC | 101 Riverstone Vis, Suite 215, Blue Ridge, GA 30513-6665 |
| Jammie Savugot | Nurse Practitioner | Skin Cancer and Cosmetic Dermatology Center PC | 101 Riverstone Vis, Suite 215, Blue Ridge, GA 30513-6665 |
| Marilyn A Williams | Nurse Practitioner | Hidden Valley Medical Center Inc | 101 Riverstone Vis, Suite 111, Blue Ridge, GA 30513-6665 |
| Shannon L Pitman | Family Medicine | Hidden Valley Medical Center Inc | 101 Riverstone Vis, Suite 211, Blue Ridge, GA 30513-6665 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Andrew Krout | Physical Therapy | North Georgia Physical Therapy | 5425 Appalachian Hwy, Suite 2, Blue Ridge, GA 30513 |
| Renee S Rimmer | Optometry | 3831 E 1st St, Blue Ridge, GA 30513 | |
| Angela Mundy Swartz | Physical Therapy | North Georgia Physical Therapy | 5425 Appalachian Hwy, Suite 2, Blue Ridge, GA 30513 |
| Brittany Northcutt | Physical Therapy | North Georgia Physical Therapy | 5425 Appalachian Hwy, Suite 2, Blue Ridge, GA 30513 |
| Michael W Darnell | Physical Therapy | North Georgia Physical Therapy | 5425 Appalachian Hwy, Suite 2, Blue Ridge, GA 30513 |
| Kristen Farist | Physical Therapy | North Georgia Physical Therapy | 5425 Appalachian Hwy, Suite 2, Blue Ridge, GA 30513 |
| Ronald T Jabaley Ii | Internal Medicine | 6 Elm St, Blue Ridge, GA 30513-2906 | |
| Kenney S Atkins | General Practice | 4799 Blue Ridge Dr, Suite 100, Blue Ridge, GA 30513-3240 | |
| Nancy E Chancey | Clinical Social Worker | 4528 Lickskillet Rd, Blue Ridge, GA 30513-3446 | |
| Joel Yagoda | Optometry | Jumpstart Fitness | 97 Commerce Dr, Blue Ridge, GA 30513-3677 |
| Find all physicians in zip 30513 | |||
| City | BLUE RIDGE |
| Zip Code | 30513 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BLUE RIDGE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lee Ann Tidman.
| 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.