Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Pat T. Tidwell MD PA

Family Medicine Physician in Niceville, FL · enumerated 2012 · authorized official Pat Tidwell, President.

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

National Provider Identifier

1093086563

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Registry record

Entity type Organization (Type 2)

Legal business name Pat T. Tidwell MD PA

Practice address 4554 Highway 20 East, Niceville, FL, 32578

Phone (850) 678-6735

Fax (850) 678-8078

Enumeration date Jan 16, 2012

Last updated in NPPES Dec 12, 2018

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

261QH0100X Health Service Clinic/Center Ambulatory Health Care Facilities · License ME30890 (FL) Secondary

Authorized official

Name Pat Tidwell

Title President

Phone (850) 678-6735

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-12-12. Verify at npiregistry.cms.hhs.gov.

Where is Pat T. Tidwell MD PA located?

The practice location on file with NPPES is in Niceville, FL.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-12-12.