Individual provider · Type 1 NPI

Thompson W. Tisdale Jr., PA-C

Physician Assistant · Hickory, NC

NPI number 1285699520 Active

Practice location

1781 Tate Blvd SE, Suite 201
Hickory, NC 28602-4233

Fax (828) 322-2389

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X100255 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1285699520

Thompson W. Tisdale Jr., PA-C's National Provider Identifier is 1285699520, issued on Apr 19, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Hickory, NC. The record was last updated on Jul 13, 2026.