Provider Profile

Charles G. Tisdale, PA-C

Unclaimed Profile

About Charles Tisdale

Listed in the NPI registry as a physician assistant — surgical, Charles G. Tisdale, PA-C practices in Shreveport, LA. According to Medicare claims data, Charles cared for 113 Medicare patients across 117 services. The services billed most often include replacement of thigh bone and hip joint with prosthesis and replacement of knee joint, both sides of knee.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.

Education & Training

School Other Graduated: 1997

Specialty

Physician Assistant — Surgical (Primary)
Physician Assistant — Surgical (Additional)

Credentials & Licensing

LA licenseA10284
LA licensePA.A10284
NPI1821096686
NPI issued07/14/2005

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Charles G. Tisdale?

Charles G. Tisdale is a physician assistant in Shreveport, LA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Physician Assistant — Surgical”.

NPI registry

What is Charles G. Tisdale's address?

Charles G. Tisdale is listed at 1500 Line Ave Ste 100, Shreveport, LA 71101. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Charles G. Tisdale?

The number on file is (318) 635-3052. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Charles G. Tisdale's NPI number?

Charles G. Tisdale's National Provider Identifier is 1821096686. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Charles G. Tisdale train?

Charles G. Tisdale attended Other, graduating in 1997. This comes from the CMS National Downloadable File.

CMS public data

How long has Charles G. Tisdale been practicing?

Charles G. Tisdale has 29 years experience. Calculated from a graduation year of 1997, reported in the CMS National Downloadable File.

CMS public data

What procedures does Charles G. Tisdale perform?

According to Medicare billing data, Charles G. Tisdale performs procedures including replacement of thigh bone and hip joint with prosthesis and replacement of knee joint, both sides of knee. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Has Charles G. Tisdale confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Charles G. Tisdale. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.