Pat T. Tidwell MD PA
NPI 1093086563ActiveOrganization· Family Medicine· Niceville, FL
Family Medicine in Niceville, Florida, registered in NPPES in January 2012. The authorized official on file is Pat Thomas Tidwell, M.D., President.
Overview
| NPI | 1093086563 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 16, 2012 |
| Last updated in NPPES | Dec 12, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Clinic/Center, Health Services | 261QH0100X | ME30890 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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