MICHELLE LOUISE TIDD PA
NPI 1194126813
Physician Assistant in Charlotte, NC

Q: What is Michelle Tidd's NPI number?

The NPI number for Michelle Tidd is 1194126813. It was assigned to this individual provider in the NPPES registry on September 12, 2014.

Q: What is Michelle Tidd's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Tidd was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since September 12, 2014PECOS EnrolledAccepts Medicare Assignment

1918 RANDOLPH RD STE 130, CHARLOTTE, NC 28207(704) 316-6005(704) 316-6006 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 17, 2023, Aug 11, 2021, Jul 28, 2021 and 2 more (5 updates tracked since 2018).

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About Michelle Louise Tidd Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE LOUISE TIDD PA (NPI 1194126813) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-11355) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194126813

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMICHELLE LOUISE TIDDCredential: PA

Location Address1918 RANDOLPH RD STE 130Charlotte, NC 28207-1107

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(704) 316-6005

Fax(704) 316-6006

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 12, 2014

Last NPPES UpdateAugust 26, 20255 updates tracked since enumeration

NPPES CertifiedAugust 26, 2025

✔ NPI 1194126813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-11355

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 2865 (SC)

1918 RANDOLPH RD STE 130, Charlotte, NC 28207

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Secondary Practice Locations 2

Location 1840 Pine St, Ste 500Macon, GA 31201-2100 · Phone (478) 633-8682 · Fax (478) 633-8698

Location 2449 N Wendover Rd Ste ACharlotte, NC 28211-1064 · Phone (704) 316-6005 · Fax (704) 316-6006

Other Identifiers 3

OtherSCC0067628SC · Medicare Pin

Medicaid3462PASC

Medicaid003152485AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Louise Tidd Pa 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.

PECOS PAC ID9234351420

PECOS Enrollment IDI20210805003269

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340053

Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TYLER JOHN BARNES

Physician Assistant