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

Luke Eidson Tidwell, PT

Individual provider Physical Therapist · NPI 1184239972

Luke Eidson Tidwell, PT is a Physical Therapist in Private Practice in Newnan, Georgia. Qualified in 2020, 6 years ago. Practices with Georgia Bone and Joint, LLC, a 50-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Licensed in
GA
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1755 Highway 34 E Ste 1300
Newnan, GA 30265-3186
Phone: (770) 254-7850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT014897 (GA)

Record details

NPI number1184239972
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 9, 2020
Last updated in NPPESSeptember 9, 2020
Certification dateSeptember 9, 2020
Mailing address1755 Highway 34 E Ste 1300, Newnan, GA 30265-3186

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Georgia Bone And Joint, Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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