MR. DONALD GREGORY TISDALE NP NPI 1174006522

NPI Details

MR. Donald Gregory Tisdale, NP is a family nurse practitioner in Flowood, MS with 8 years of experience. MR. Donald Gregory Tisdale, NP NPI is 1174006522. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10 CANEBRAKE BLVD STE 110-09
FLOWOOD, MS
ZIP 39232-211
Phone: (769) 333-8808
Fax: (769) 333-8809

The NPI 1174006522 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Established patient home visit, typically 1 hour (HCPCS:99350)
• Extended office or other outpatient service, first hour (HCPCS:99354)
• Extended patient service without direct patient contact, first hour (HCPCS:99358)
• Covid-19 vaccine administration inside a patient's home; reported only once per individual home per date of service when only covid-19 vaccine administration is performed at the patient's home (HCPCS:M0201)
• Established patient home visit, typically 40 minutes (HCPCS:99349)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
• Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
• New patient home visit, typically 75 minutes (HCPCS:99345)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Insertion of needle into vein for collection of blood sample (HCPCS:36415)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage, for intramuscular use (HCPCS:91301)
• Extended office or other outpatient service, each additional 30 minutes (HCPCS:99355)
• Urinalysis, manual test (HCPCS:81002)
• Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
• Advance care planning, first 30 minutes (HCPCS:99497)
• New patient home visit, typically 1 hour (HCPCS:99344)
• New patient custodial care facility, group care, or assisted living visit, typically 75 minutes (HCPCS:99328)

The enumeration date for this NPI number is 9/12/2018 and was last updated on 5/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: