Provider Profile

Zachary Tisdale

Unclaimed Profile

About Zachary Tisdale

Zachary Tisdale is a nurse practitioner based in De Kalb, MS. The provider's National Provider Identifier (NPI) is 1730048794.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2025

Specialty

Nurse Practitioner (Primary)

Credentials & Licensing

MS licenceAs reported to the NPI registry
No. 907900As reported
NPINational Provider Identifier
1730048794Issued 2026

As reported to the NPI registry ↗

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 does Zachary Tisdale specialize in?

Zachary Tisdale is a nurse practitioner in De Kalb, MS. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Zachary Tisdale located?

Zachary Tisdale is listed at 14365 Highway 16 W, De Kalb, MS 39328. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Zachary Tisdale's phone number?

The number on file is (769) 486-1000. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Zachary Tisdale's NPI number?

Zachary Tisdale's National Provider Identifier is 1730048794. 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 Zachary Tisdale train?

Zachary Tisdale attended Other, graduating in 2025. This comes from the CMS National Downloadable File.

CMS public data

How long has Zachary Tisdale been practicing?

Zachary Tisdale has 1 year experience. Calculated from a graduation year of 2025, reported in the CMS National Downloadable File.

CMS public data

Has Zachary Tisdale confirmed this information?

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

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