MRS. CHRISTINA MICHELLE TIDWELL PA
NPI 1528447372
Physician Assistant in Vidalia, GA

Active since May 27, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1 MEADOWS PKWY, VIDALIA, GA 30474(912) 535-5555(912) 535-5891 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 25, 2024, May 15, 2021, Oct 29, 2018 (3 updates tracked since 2018).

About Mrs. Christina Michelle Tidwell Pa NPPES

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

MRS. CHRISTINA MICHELLE TIDWELL PA (NPI 1528447372) is an individual physician assistant in Vidalia, Georgia, licensed in Georgia (7597) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Candler County Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1528447372
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. CHRISTINA MICHELLE TIDWELLCredential: PA
Location Address1 MEADOWS PKWYVidalia, GA 30474-8759
Mailing AddressPo Box 597Metter, GA 30439-0597 · (912) 685-1244
Fax(912) 535-5891
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 27, 2015
Last NPPES UpdateJuly 25, 20243 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
NPI 1528447372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 7597
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.
1 MEADOWS PKWY, Vidalia, GA 30474

Other Names 1

Former Name (1)Ms. Christina Michelle Dacey Pa

Secondary Practice Locations 4

Location 1637 S. Lewis St.Metter, GA 30439 · Phone (912) 685-1800
Location 2110 R T Stanley Sr PlaceLyons, GA 30436 · Phone (912) 526-9355
Location 3303 Harris Industrial Blvd Ste 5Vidalia, GA 30474-8854 · Phone (912) 535-7000
Location 410 Doctors StMetter, GA 30439 · Phone (912) 685-5715

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

Mrs. Christina Michelle Tidwell 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 ID2365755337
PECOS Enrollment IDI20150720002382
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.

Candler County Hospital

Critical Access Hospitals · Metter, GA
OwnershipProprietary
CMS Certification Number111334
Location400 Cedar StreetMetter, GA 30439 · Candler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30474 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost87.79

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
1 MEADOWS PKWY
VIDALIA, GA 30474
Dietitian, Registered
1 MEADOWS PKWY
VIDALIA, GA 30474
Internal Medicine
1 MEADOWS PKWY
VIDALIA, GA 30474
Radiology (Radiation Oncology)
1 MEADOWS PKWY
VIDALIA, GA 30474
Physician Assistant
1 MEADOWS PKWY
VIDALIA, GA 30474
Internal Medicine (Pulmonary Disease)
1 MEADOWS PKWY
VIDALIA, GA 30474
Anesthesiology
1 MEADOWS PKWY
VIDALIA, GA 30474
Internal Medicine
1 MEADOWS PKWY
VIDALIA, GA 30474

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 Christina Tidwell's NPI number?

The NPI number for Christina Tidwell is 1528447372. It was assigned to this individual provider in the NPPES registry on May 27, 2015. The provider is also known as Ms. Christina Michelle Dacey PA.

Where is Christina Tidwell located?

Christina Tidwell practices at 1 Meadows Pkwy, Vidalia, GA 30474. The listed phone number is (912) 535-5555.

What is Christina Tidwell's specialty?

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

Is Christina Tidwell enrolled in Medicare?

Yes. Christina 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 Christina Tidwell accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Christina 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.

Is Christina Tidwell affiliated with any hospitals?

According to CMS data, Christina Tidwell is affiliated with Candler County Hospital.

When was this NPI record last updated?

The NPPES record for Christina Tidwell was last updated on July 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.