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

Mr. Donald Gregory Tisdale Jr., NP

Individual provider Family Nurse Practitioner · NPI 1174006522

Mr. Donald Gregory Tisdale Jr., NP is a Nurse Practitioner in Flowood, Mississippi. Qualified in 2018, 8 years ago. Practices with On-Site Health LLC, a 2-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
8
Licensed in
MS
In the registry since
2018
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

10 Canebrake Blvd Ste 110-09
Flowood, MS 39232-2211
Phone: (769) 333-8808
Fax: (769) 333-8809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1227 N State St Ste 101, Jackson, MS 39202-2002 — (601) 355-2485

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 902899 (MS)

Record details

NPI number1174006522
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedSeptember 12, 2018
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice On-Site Health Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Flowood