LAUREN BLAIR TIDWELL PA-C
NPI 1497204002
Physician Assistant - Medical in Huntsville, AL

Active since September 23, 2016PECOS EnrolledAccepts Medicare Assignment
2317 MEMORIAL PKWY SW STE 300, HUNTSVILLE, AL 35801(256) 881-4112 Get Directions Write a Review

NPPES record last updated: September 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2021, Mar 17, 2018, Aug 3, 2017 and 2 more (5 updates tracked since 2016).

About Lauren Blair Tidwell Pa-c NPPES

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

LAUREN BLAIR TIDWELL PA-C (NPI 1497204002) is an individual medical provider in Huntsville, Alabama, licensed in Alabama (PA.1163) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1497204002
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLAUREN BLAIR TIDWELLCredential: PA-C
Location Address2317 MEMORIAL PKWY SW STE 300Huntsville, AL 35801-5623
Mailing Address2317 Memorial Pkwy Sw Ste 300Huntsville, AL 35801-5623 · (256) 881-4112
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 23, 2016
Last NPPES UpdateSeptember 11, 20215 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2021
NPI 1497204002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AL · PA.1163
2317 MEMORIAL PKWY SW STE 300, Huntsville, AL 35801

Secondary Practice Locations 2

Location 1104 Spenryn DrMadison, AL 35758-1890 · Phone (256) 772-4300
Location 21600 Browns Ferry RdMadison, AL 35758-9601 · Phone (256) 461-7272

Accepted 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

Lauren Blair Tidwell Pa-c 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 ID1355670290
PECOS Enrollment IDI20190903000716
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.

Areas of Expertise CMS Part B claims 3

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.

Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
433 services411 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
163 services146 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
83 services82 patients

Other Providers at the Same Location NPPES 5

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

Psychiatry & Neurology (Neurology)
2317 MEMORIAL PKWY SW STE 300
HUNTSVILLE, AL 35801
Psychiatry & Neurology (Neurology)
2317 MEMORIAL PKWY SW STE 300
HUNTSVILLE, AL 35801
Psychiatry & Neurology (Neurology)
2317 MEMORIAL PKWY SW STE 300
HUNTSVILLE, AL 35801
Psychiatry & Neurology (Neurology)
2317 MEMORIAL PKWY SW STE 300
HUNTSVILLE, AL 35801
Psychiatry & Neurology (Neurology)
2317 MEMORIAL PKWY SW STE 300
HUNTSVILLE, AL 35801

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 Lauren Tidwell's NPI number?

The NPI number for Lauren Tidwell is 1497204002. It was assigned to this individual provider in the NPPES registry on September 23, 2016.

Where is Lauren Tidwell located?

Lauren Tidwell practices at 2317 Memorial Pkwy SW Ste 300, Huntsville, AL 35801. The listed phone number is (256) 881-4112.

What is Lauren Tidwell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lauren Tidwell enrolled in Medicare?

Yes. Lauren Tidwell 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.

What insurance does Lauren Tidwell accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Lauren Tidwell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lauren Tidwell was last updated on September 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.