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

Timothy Tisdale, PA-C

Individual provider Physician Assistant · NPI 1770172785

Timothy Tisdale, PA-C is a Physician Assistant in Fairhope, Alabama. Graduated from University of South Alabama College of Medicine in 2020, 6 years ago. Practices with Physician Services of the Gulf Coast LLC, a 31-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
6
Trained at
University of South Alabama College of Medicine
Licensed in
AL
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

188 Hospital Dr Ste 100
Fairhope, AL 36532-2038
Phone: (251) 607-9797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.1693 (AL)

Record details

NPI number1770172785
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 13, 2021
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Physician Services Of The Gulf Coast Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fairhope