Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tidwell Family Ventures LLC

Organization Family Medicine Physician · NPI 1518106020

Tidwell Family Ventures LLC provides Family Medicine Physician services in Portland, Tennessee. Licensed in Tennessee. Registered with an NPI since 2009.

Licensed in
TN
In the registry since
2009
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

505 S Broadway
Portland, TN 37148-1438 Not confirmed with CMS for 17 years — call before visiting
Phone: (615) 323-1020
Fax: (615) 323-1021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 10971 (TN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 1755 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 13982 (TN)

Record details

NPI number1518106020
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emily Tidwell — Member · (615) 323-1020
Other names Portland Family Care And Walk-In Clinic
NPI enumeratedFebruary 8, 2009
Last updated in NPPESAugust 5, 2009
Mailing address505 S Broadway, Portland, TN 37148-1438

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