Individual provider

Jonathan Tidwell, MD

Anesthesiology Physician General Practice Physician Student in an Organized Health Care Education/Training Program Medicare enrolled

Jonathan Tidwell, MD is an Anesthesiology Physician in Niceville, FL, registered under NPI 1053574939. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 2337 CANAL DR, Niceville, FL 32578. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2337 CANAL DR, Niceville, FL 32578 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
ME117825 FL Anesthesiology Physician primary
061763 GA General Practice Physician

Licences are recorded in 2 states: FL, GA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Anesthesiology
PAC ID
5991925729

Medicare enrolment is recorded as approved under the provider type Practitioner - Anesthesiology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Florida and Georgia. The practice address on file is in Niceville, FL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

FL Florida practice address
Licence
ME117825
Specialty
Anesthesiology Physician
Verify with the FL board →
GA Georgia
Licence
061763
Specialty
General Practice Physician
Verify with the GA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Anesthesiology covers

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. NUCC Health Care Provider Taxonomy, code 207L00000X
Allopathic & Osteopathic Physicians Anesthesiology

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207L00000X Anesthesiology Physician ME117825 FL primary
208D00000X General Practice Physician 061763 GA
390200000X Student in an Organized Health Care Education/Training Program

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1053574939 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 9, 2008
Last updatedNov 19, 2013
StatusActive
Sole proprietorYes
CredentialMD
Practice address 2337 CANAL DR
Niceville, FL 32578
(813) 482-6956
This record was last updated on Nov 19, 2013, roughly 12 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1053574939 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 5 3 5 7 4 9 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 1 3 1 7 8 9 6

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1053574939?
NPI 1053574939 is the National Provider Identifier assigned to Jonathan Tidwell, MD in Niceville, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Anesthesiology Physician cover?
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to…
How do I contact Jonathan Tidwell, MD?
The phone number on file with NPPES is (813) 482-6956, last updated Nov 19, 2013. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jonathan Tidwell, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1053574939 a valid number?
Yes. 1053574939 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.