DR. REX WALLACE TIDWELL M.D.
NPI 1205902749
Radiology - Diagnostic Radiology in Warner Robins, GA

Q: What is Rex Tidwell's NPI number?

The NPI number for Rex Tidwell is 1205902749. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Q: What is Rex Tidwell's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Rex Tidwell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 27, 2006

1601 WATSON BLVD., HOUSTON MEDICAL CENTER, WARNER ROBINS, GA 31093(478) 542-7996(478) 542-7943 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Rex Wallace Tidwell M.d. NPPES

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

DR. REX WALLACE TIDWELL M.D. (NPI 1205902749) is an individual diagnostic radiology provider in Warner Robins, Georgia, licensed in Georgia (010300) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1205902749

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDR. REX WALLACE TIDWELLCredential: M.D.

Location Address1601 WATSON BLVD., HOUSTON MEDICAL CENTERWarner Robins, GA 31093

Mailing Address11811 Ga Highway 74Forsyth, GA 31029-7409 · (478) 994-9877 · Fax (478) 992-9362

Phone(478) 542-7996

Fax(478) 542-7943

Sole ProprietorYes

Enumeration DateNovember 27, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1205902749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in GA · 010300

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1601 WATSON BLVD., Warner Robins, GA 31093

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Other Identifiers 1

Medicare UPIND46338GA

Other Providers at the Same Location NPPES

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

DR. SIMPAL KAUR GILL MBBS

Pathology (Anatomic Pathology & Clinical Pathology)

1601 WATSON BLVD., SEPA LABS @ HOUSTON MEDICAL CENTER
WARNER ROBINS, GA 31093

Houston County (912) 261-2669

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 Rex Tidwell's NPI number?

The NPI number for Rex Tidwell is 1205902749. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Where is Rex Tidwell located?

Rex Tidwell practices at 1601 Watson Blvd. Houston Medical Center, Warner Robins, GA 31093. The listed phone number is (478) 542-7996.

What is Rex Tidwell's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Rex Tidwell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.