1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Obstetrics Gynecology
  6. NPI Profile

DR. JOHN W. TIDWELL II MD
NPI 1790781805
Obstetrics & Gynecology in Charlotte, NC

Active since June 23, 2005
2801 RANDOLPH RD, STE 200, CHARLOTTE, NC 28211(704) 377-5675(704) 335-8163 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John W. Tidwell Ii Md NPPES

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

DR. JOHN W. TIDWELL II MD (NPI 1790781805) is an individual obstetrics & gynecology provider in Charlotte, North Carolina, licensed in North Carolina (17907) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1790781805
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JOHN W. TIDWELL IICredential: MD
Location Address2801 RANDOLPH RD, STE 200Charlotte, NC 28211-1051
Mailing Address2801 Randolph Rd, Ste 200Charlotte, NC 28211-1051 · (704) 377-5675 · Fax (704) 335-8163
Phone(704) 377-5675
Fax(704) 335-8163
Sole ProprietorNo
Enumeration DateJune 23, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790781805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NC · 17907
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2801 RANDOLPH RD, Charlotte, NC 28211
Open in Google Maps ↗

Other Identifiers 4

MedicaidN17907SC
Medicare UPIND62814NC
Medicare ID-Type Unspecified210970FNC
Medicaid8983480NC

Other Providers at the Same Location NPPES 10

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

KENNETH D WEEKS MD
Internal Medicine (Cardiovascular Disease)
2801 RANDOLPH RD, SUITE 101
CHARLOTTE, NC 28211
Mecklenburg County (704) 384-7910
DR. THOMAS HAYES WOOLLEN M.D.
Family Medicine
2801 RANDOLPH RD, SUITE 101
CHARLOTTE, NC 28211
Mecklenburg County (704) 384-7910
DR. MAXWELL GREENMAN M.D.
Ophthalmology
2801 RANDOLPH RD, STE 200
CHARLOTTE, NC 28211
Mecklenburg County (704) 375-2101
NOVANT MEDICAL GROUP, INC
Psychiatry & Neurology (Neurology)
2801 RANDOLPH RD, SUITE 101
CHARLOTTE, NC 28211
Mecklenburg County (704) 384-7910
MR. STEPHEN W HIPP MD
Neurological Surgery
2801 RANDOLPH RD, SUITE 100
CHARLOTTE, NC 28211
Mecklenburg County (704) 367-4800
DR. HERBERT E. GREENMAN M.D.
Ophthalmology
2801 RANDOLPH RD, STE 200
CHARLOTTE, NC 28211
Mecklenburg County (704) 375-2101
ROBERT CHRISTENBERY III PA
Physician Assistant
2801 RANDOLPH RD, SUITE 100
CHARLOTTE, NC 28211
Mecklenburg County (704) 367-4800
NOVANT HEALTH MEDICAL GROUP, LLC
Orthopaedic Surgery
2801 RANDOLPH RD, SUITE 100
CHARLOTTE, NC 28211
Mecklenburg County (704) 367-4800

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 John Tidwell's NPI number?

The NPI number for John Tidwell is 1790781805. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is John Tidwell located?

John Tidwell practices at 2801 Randolph Rd Ste 200, Charlotte, NC 28211. The listed phone number is (704) 377-5675.

What is John Tidwell's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for John 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.