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

Payton Mackenzie Tidwell, PA

Individual provider Physician Assistant · NPI 1649861345

Payton Mackenzie Tidwell, PA is a Physician Assistant in Nashville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2021.

Licensed in
TN
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

3441 Dickerson Pike
Nashville, TN 37207-2539
Phone: (615) 769-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (TN)

Record details

NPI number1649861345
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 27, 2021
Last updated in NPPESJanuary 27, 2021
Certification dateJanuary 27, 2021

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