Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jonathan D Tidwell, MD

Individual provider General Practice Physician · NPI 1053574939

Dr. Jonathan D Tidwell, MD is an Anesthesiology in Niceville, Florida. Graduated from University of South Florida College of Medicine in 2007, 19 years ago. Practices with Anesthesia Physician Solutions of North Florida LLC, a 286-clinician group and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
19
Trained at
University of South Florida College of Medicine
Licensed in
FL, GA
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2337 Canal Dr
Niceville, FL 32578-2911
Phone: (813) 482-6956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence ME117825 (FL)
General Practice Physician Taxonomy 208D00000X · Licence 061763 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053574939
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 9, 2008
Last updated in NPPESNovember 19, 2013
Mailing address2337 Canal Dr, Niceville, FL 32578-2911

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Anesthesia Physician Solutions Of North Florida Llc — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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