MIDTOWN OB GYN – NPI #1689759581
Point of Service

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

MIDTOWN OB GYN is a managed care organization located in COLUMBUS, GA. NPPES has assigned the NPI number 1689759581 to MIDTOWN OB GYN on October 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MIDTOWN OB GYN” is a dba name, the actual legal business name for this organization is SERENA D. TIDWELL, M.D., P.C.. The primary taxonomy selected by this provider is 305S00000X from the Health Care Provider Taxonomy code set, which is classified as Point of Service.

The NPI profile was previously updated about 11 years ago on Jan 20, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MIDTOWN OB GYN below.

NPI Profile for
SERENA D. TIDWELL, M.D., P.C.

NPI Number
1689759581
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SERENA D. TIDWELL, M.D., P.C.
Doing Business As (dba): MIDTOWN OB GYN
Primary location
1538 13TH AVE
SUITE C200
COLUMBUS, GA 31901-1956
Phone: (706) 320-2547 Fax: (706) 320-2549
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SERENA TIDWELL
PRESIDENT
Phone: (706) 320-2547
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
305S00000X
- Point of Service (Primary)
GA 051192

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.