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

Johnathan Tidwell, CRNP

Individual provider Acute Care Nurse Practitioner · NPI 1063870608

Johnathan Tidwell, CRNP is a Nurse Practitioner in Birmingham, Alabama. Qualified in 2015, 11 years ago. Practices with University of Alabama Health Services Foundation, PC, a 2,759-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
11
Licensed in
AL
In the registry since
2016
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

619 19th St S P915
Birmingham, AL 35233-1900
Phone: (205) 975-0512
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 619 19th St S, Birmingham, AL 35233-1900 — (205) 975-0511
  • 619 19th St S, Birmingham, AL 35233-1900 — (205) 975-0511

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1-124189 (AL)

Record details

NPI number1063870608
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorYes
NPI enumeratedFebruary 9, 2016
Last updated in NPPESFebruary 1, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice University Of Alabama Health Services Foundation, Pc — 2759 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Birmingham