NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Jerry Neil Tidwell, OD

Optometrist in Dickson, TN · enumerated 2006 · practices at Drs. Tidwell, Faulks, and Allen - Optometry, Pllc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013986603

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)
Name Dr. Jerry Neil Tidwell
Credential OD
Sex Male
Practice address 610 Henslee Dr, Dickson, TN, 37055
Phone (615) 446-2020
Fax (615) 441-2020
Enumeration date Mar 16, 2006
Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License OD0000000818 (TN) Primary
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier Type State Issuer
3113993 Other TN BLUE CROSS BLUE SHIELD TN
3595690 Medicaid TN -
1250080001 Other TN MEDICARE DMERC

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Jerry Tidwell practice?
The practice location on file with NPPES is in Dickson, TN. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jerry Tidwell?
The National Provider Identifier (NPI) for Jerry Tidwell is 1013986603, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.