DR. WILLIAM C TIDMORE JR. M.D.
NPI 1073695292
Internal Medicine - Rheumatology in Valdosta, GA
About Dr. William C Tidmore Jr. M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. WILLIAM C TIDMORE JR. M.D. (NPI 1073695292) is an individual rheumatology provider in Valdosta, Georgia, licensed in Georgia (041978) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Phoebe Putney Memorial Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. William C Tidmore Jr. M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show William Tidmore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Valdosta, GA 31602
- Reassigned Medicare billing, Georgia enrollment
- 38 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 77
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Phoebe Putney Memorial Hospital
Acute Care Hospitals · Albany, GATift Regional Medical Center
Acute Care Hospitals · Tifton, GASgmc Health
Acute Care Hospitals · Valdosta, GASgmc Berrien Campus
Acute Care Hospitals · Nashville, GASgmc Health Lanier
Critical Access Hospitals · Lakeland, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 11
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VALDOSTA, GA 31602
VALDOSTA, GA 31602
VALDOSTA, GA 31602
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is William Tidmore's NPI number?
The NPI number for William Tidmore is 1073695292. It was assigned to this individual provider in the NPPES registry on October 19, 2006.
Where is William Tidmore located?
William Tidmore practices at 2418 N Oak St, Valdosta, GA 31602. The listed phone number is (229) 219-0247.
What is William Tidmore's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is William Tidmore enrolled in Medicare?
Yes. William Tidmore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for William Tidmore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), William Tidmore reassigns Medicare benefits to Valdosta Family Medicine Associates, P.C. (Valdosta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Tidmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is William Tidmore affiliated with any hospitals?
According to CMS data, William Tidmore is affiliated with Phoebe Putney Memorial Hospital, Tift Regional Medical Center, Sgmc Health, Sgmc Berrien Campus and Sgmc Health Lanier.
When was this NPI record last updated?
The NPPES record for William Tidmore was last updated on September 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.