Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ATIYAH TIDD-JOHNSON MD
NPI 1679278337
Internal Medicine in Lebanon, NH

Q: What is Atiyah Tidd-johnson's NPI number?

The NPI number for Atiyah Tidd-johnson is 1679278337. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Q: What is Atiyah Tidd-johnson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 03, 2023PECOS Enrolled

1 MEDICAL CENTER DR, LEBANON, NH 03756(603) 650-5000(603) 640-1228 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2026, Apr 3, 2023 (2 updates tracked since 2023).

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About Dr. Atiyah Tidd-johnson Md NPPES

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

DR. ATIYAH TIDD-JOHNSON MD (NPI 1679278337) is an individual internal medicine provider in Lebanon, New Hampshire, licensed in New Hampshire (39729) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1679278337

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. ATIYAH TIDD-JOHNSONCredential: MD

Location Address1 MEDICAL CENTER DRLebanon, NH 03756-1000

Mailing AddressPo Box 810Hanover, NH 03755-0810

Phone(603) 650-5000

Fax(603) 640-1228

Sole ProprietorNo

Enumeration DateApril 3, 2023

Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1679278337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NH · 39729

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1 MEDICAL CENTER DR, Lebanon, NH 03756

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Secondary Practice Location 1

Location 1121 Dekalb Ave, House Staff AdministrationBrooklyn, NY 11201-5425 · Phone (718) 250-6604

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Atiyah Tidd-johnson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03756 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

$132.09 typical visit price

range $57.75 – $174.26

Typical copayment $33.02 (range $14.43 – $43.56)

Most-billed visit code 99204

Established Patient

$101.54 typical visit price

range $18.70 – $142.15

Typical copayment $25.38 (range $4.67 – $35.53)

Most-billed visit code 99214

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 20

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

MRS. JANICE M BRENNAN APRN

Nurse Practitioner (Family)

1 MEDICAL CENTER DR, DHMC DEPARTMENT OF OCCUPATION MEDICINE
LEBANON, NH 03756

Grafton County (603) 560-5000

MS. SHELLEY GRACE BENSON R.PH.

Pharmacist (Oncology)

1 MEDICAL CENTER DR
LEBANON, NH 03756

Grafton County (603) 650-5417

ELIAS LOUKAS M.D.

Internal Medicine

1 MEDICAL CENTER DR, DHMC SECTION OF HOSPITAL MEDICINE
LEBANON, NH 03756

Grafton County (603) 650-8380

SARAH S SEO MD

Otolaryngology

1 MEDICAL CENTER DR, OTOLARYNGOLOGY
LEBANON, NH 03756

Grafton County (603) 650-8123

DR. SRINIVAS J. IVATURY MD

Colon & Rectal Surgery

1 MEDICAL CENTER DR, COLON & RECTAL SURGERY DEPARTMENT
LEBANON, NH 03756

Grafton County (603) 650-8113

TIMOTHY EARLEY D.O.

Student in an Organized Health Care Education/Training Program

1 MEDICAL CENTER DR
LEBANON, NH 03756

Grafton County (201) 694-0663

HANNAH ELIZABETH FOOTE BENSIMHON M.D.

Internal Medicine (Cardiovascular Disease)

1 MEDICAL CENTER DR
LEBANON, NH 03756

Grafton County (603) 650-5000

EMILE JOSEPH HASAN M.D.

Student in an Organized Health Care Education/Training Program

1 MEDICAL CENTER DR
LEBANON, NH 03756

Grafton County (603) 650-5000

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 Atiyah Tidd-johnson's NPI number?

The NPI number for Atiyah Tidd-johnson is 1679278337. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Atiyah Tidd-johnson located?

Atiyah Tidd-johnson practices at 1 Medical Center Dr, Lebanon, NH 03756. The listed phone number is (603) 650-5000.

What is Atiyah Tidd-johnson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Atiyah Tidd-johnson enrolled in Medicare?

Yes. Atiyah Tidd-johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Atiyah Tidd-johnson was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.