Detra Tisdale, M.D.
NPI 1730273079 · Internal Medicine Physician · Cordova, TN
Detra Tisdale, M.D. is a Internal Medicine Physician provider in Cordova, TN (NPI 1730273079).
Provider details
- NPI number
- 1730273079
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 053713 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2010-12-06
Frequently asked questions
- What is Detra Tisdale's NPI number?
- Detra Tisdale's National Provider Identifier (NPI) is 1730273079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Detra Tisdale's specialty?
- Detra Tisdale is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Detra Tisdale located?
- Detra Tisdale's practice location on file with NPPES is 1144 N Houston Levee Rd, Cordova, TN 38018-7145.
- What is Detra Tisdale's phone number?
- The practice phone number listed in the NPPES registry for Detra Tisdale is (901) 382-2044.
- Is Detra Tisdale's NPI active?
- Yes — Detra Tisdale's NPI (1730273079) is active in the NPPES registry as of the last update on 2010-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.