Ms Amber Nickolina Tidwell, NP - Medicare Nurse Practitioner in Carrollton, GA

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Ms Amber Nickolina Tidwell, NP is a medicare enrolled "Nurse Practitioner - Family" in Carrollton, Georgia. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pathways Center For Behavioral And Developmental Growth and her current practice location is 153 Independence Dr, Carrollton, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 836-6678.

Ms Amber Nickolina Tidwell is licensed to practice in Georgia (license number RN125386) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073862751.

Contact Information

Ms Amber Nickolina Tidwell, NP
153 Independence Dr,
Carrollton, GA 30116-9000
(770) 836-6678
Not Available

Map and Direction




Provider's Profile

Full NameMs Amber Nickolina Tidwell
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location153 Independence Dr, Carrollton, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Amber Nickolina Tidwell graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1073862751
  • Provider Enumeration Date: 09/10/2012
  • Last Update Date: 11/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6507018389
  • Enrollment ID: I20121129000456

Medical Identifiers

Medical identifiers for Ms Amber Nickolina Tidwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073862751NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN125386 (Georgia)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health AC004642 (Maryland)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pathways Center For Behavioral And Developmental Growth519371207312

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Amber Nickolina Tidwell allows following entities to bill medicare on her behalf.
Entity NamePathways Center For Behavioral And Developmental Growth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124183082
PECOS PAC ID: 5193712073
Enrollment ID: O20040430000883
Entity NameWest Georgia Cardiology Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932421187
PECOS PAC ID: 4385773373
Enrollment ID: O20100601000572
Entity NameArun K Kantamneni Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922491695
PECOS PAC ID: 7315268539
Enrollment ID: O20150530000122

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Amber Nickolina Tidwell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Amber Nickolina Tidwell, NP
521 Boyce Rd,
Charlotte, NC 28211-6166

Ph: (404) 578-0479		Ms Amber Nickolina Tidwell, NP
153 Independence Dr,
Carrollton, GA 30116-9000

Ph: (770) 836-6678

Reviews and Comments


Nurse Practitioner Nurses in Carrollton, GA

Sheila Reece Walls,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4248 Mount Zion Rd, Carrollton, GA 30117
Phone: 770-836-0103    Fax: 770-834-8828
Latoya Pulliam Bexley, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 410 Dixie St, Carrollton, GA 30117
Phone: 678-796-0681    Fax: 770-836-8477
Emilia Grace Janney, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 527 Tanner St, Carrollton, GA 30117
Phone: 770-537-1234    Fax: 770-537-1237
Mr. Matthew Henderson, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 150 Clinic Ave Ste 101, Carrollton, GA 30117
Phone: 770-834-0873    
Ronda S Phillips, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 705 Dixie St, Suite 401, Carrollton, GA 30117
Phone: 770-838-8824    Fax: 770-838-8922
Amy Hicks,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 104 Rome St, Carrollton, GA 30117
Phone: 404-301-4042    
Stephanie Jones, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 706 Dixie St Ste 200, Carrollton, GA 30117
Phone: 770-214-2121    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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