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

Dr. William James Tidwell, MD

Individual provider Dermatology Physician · NPI 1962849463

Dr. William James Tidwell, MD is a Dermatology in Hendersonville, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 2013, 13 years ago. Practices with Cumberland Skin Surgery and Dermatology, a 55-clinician group and accepts Medicare assignment. Licensed in California, Kentucky and Tennessee.

Years since qualifying
13
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
CA, KY, TN
In the registry since
2013
Specialties on file
5
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

100 Springhouse Ct
Hendersonville, TN 37075-1609
Phone: (615) 824-7491
Fax: (615) 449-5740
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 56778 (TN)
Dermatology Physician Taxonomy 207N00000X · Licence A147575 (CA)
Dermatology Physician Taxonomy 207N00000X · Licence 51181 (KY)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 51181 (KY)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence A14575 (CA)

Record details

NPI number1962849463
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2013
Last updated in NPPESDecember 29, 2023
Certification dateDecember 29, 2023

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Cumberland Skin Surgery And Dermatology — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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