MIDTOWN OB GYN
NPI 1689759581
Point of Service in Columbus, GA

Active since October 26, 2006CLIA Certified · 2 labs
1538 13TH AVE, SUITE C200, COLUMBUS, GA 31901(706) 320-2547(706) 320-2549 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Midtown Ob Gyn NPPES

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

MIDTOWN OB GYN (NPI 1689759581) is a healthcare organization registered as a point of service in Columbus, Georgia and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through January 24, 2027 and lists Serena Davis Tidwell, President, as its authorized official.

NPPES Registry Identity

NPI1689759581
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameSERENA D. TIDWELL, M.D., P.C.
Location Address1538 13TH AVE, SUITE C200Columbus, GA 31901-1956
Mailing Address1538 13th Ave, Suite C200Columbus, GA 31901-1956 · (706) 320-2547 · Fax (706) 320-2549
Fax(706) 320-2549
Organization SubpartNo
Authorized OfficialSerena Davis TidwellPresident · (706) 320-2547
Enumeration DateOctober 26, 2006
Last NPPES UpdateJanuary 20, 2015
NPI 1689759581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License Licensed in GA · 051192
Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

1538 13TH AVE, Columbus, GA 31901

Other Names 1

Doing Business AsMidtown Ob Gyn

Other Identifiers 1

Medicare UPINH58549GA

Accepted Insurance

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D1010631
Facility Type
Physician Office
Certificate Effective Date
January 25, 2025
Certificate Expiration Date
January 24, 2027
Laboratory Director
SERENA TIDWELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Midtown Ob Gyn to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Specialist
1538 13TH AVE, SUITE C 200
COLUMBUS, GA 31901
Physician Assistant (Surgical)
1538 13TH AVE, SUITE B300
COLUMBUS, GA 31901
Prosthetic/Orthotic Supplier
1538 13TH AVE, BUILDING B-200
COLUMBUS, GA 31901
Internal Medicine (Pulmonary Disease)
1538 13TH AVE, C100
COLUMBUS, GA 31901
Neurological Surgery
1538 13TH AVE, SUITE B 300
COLUMBUS, GA 31901
Physician Assistant
1538 13TH AVE, STE B 300
COLUMBUS, GA 31901
Urology
1538 13TH AVE, BUILDING A
COLUMBUS, GA 31901
Urology
1538 13TH AVE, BUILDING A
COLUMBUS, GA 31901
Family Medicine
1538 13TH AVE, SUITE C-200
COLUMBUS, GA 31901
Nurse Practitioner
1538 13TH AVE, SUITE C200
COLUMBUS, GA 31901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689759581, enumerated as an "organization" on October 26, 2006.

The provider is located at 1538 13TH AVE SUITE C200 COLUMBUS, GA 31901 and the phone number is (706) 320-2547.

Point of Service with taxonomy code 305S00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.