Dr. Detra Michelle Tisdale, MD
- Hospital affiliations
- 1
- State licenses
- 3
- Year NPI issued
- 2006
- Practice address
- 4250 Bethel Road, Olive Branch, MS 38654
- Practice phone
- Call (662) 932-9000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Find Dr. Tisdale's professional email, personal email and mobile number
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Dr. Detra Michelle Tisdale is an internist in Olive Branch, Mississippi
Dr. Tisdale practices at Methodist Olive Branch Hospital in Olive Branch, Mississippi, part of Methodist Le Bonheur Healthcare.
Dr. Tisdale's NPI, 1730273079, was assigned on October 3, 2006. Dr. Tisdale holds Tennessee license 46435.
- NPI
- 1730273079NPI Registry (opens in a new tab)
- NPI enumeration date
- October 3, 2006
- NPI status
- Active
- Practice phone
- (662) 932-9000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data
Dr. Detra Michelle Tisdale practices at Methodist Olive Branch Hospital in Olive Branch, Mississippi
Dr. Tisdale's primary practice is Methodist Olive Branch Hospital, at 4250 Bethel Road, Olive Branch, MS 38654 in De Soto County. The practice phone is (662) 932-9000.
- Methodist Olive Branch Hospital4250 Bethel Road, Olive Branch, MS 38654 · De Soto CountyPhone(662) 932-9000
Source: Dmand AI Affiliation Data
Dr. Detra Michelle Tisdale is affiliated with 1 site of care
Dr. Tisdale's primary practice is Methodist Olive Branch Hospital in Olive Branch, Mississippi, part of Methodist Le Bonheur Healthcare.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Detra Michelle Tisdale's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Tisdale practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Methodist Olive Branch Hospital | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
Dmand AI maps EHR vendors, IT decision makers and buying committees across Methodist Le Bonheur Healthcare and 6.2K+ hospitals, with verified contacts in the same login.
Dr. Detra Michelle Tisdale is one of 785 internists in Mississippi
Internal medicine is Dr. Tisdale's primary specialty in the NPI Registry, under taxonomy code 207R00000X. Dmand AI has Dr. Tisdale's licenses on file in 3 states: Tennessee, Georgia and Louisiana.
Specialties and state licenses
- Internal medicine, TennesseePrimary
- Georgia license
- Louisiana license
Internists near Dr. Tisdale
Counts of internists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Detra Michelle Tisdale's patients have a median age of 74
Across all payers, Dmand AI patient panel data puts Dr. Tisdale's median patient age at 74, with 100% women.
Dr. Tisdale's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 74
Patient panel by sex, all payers
- Women100%
- Men0%
Source: Dmand AI Patient Panel Data
Sources for Dr. Detra Michelle Tisdale's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Detra Michelle Tisdale
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Detra Michelle Tisdale's NPI number?
Dr. Detra Michelle Tisdale's NPI number is 1730273079. It was assigned on October 3, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Detra Michelle Tisdale?
Dr. Detra Michelle Tisdale is an internist in Olive Branch, Mississippi. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).
Where does Dr. Detra Michelle Tisdale practice?
Dr. Tisdale practices at 4250 Bethel Road, Olive Branch, MS 38654. Dr. Tisdale's primary practice is Methodist Olive Branch Hospital in Olive Branch, Mississippi, part of Methodist Le Bonheur Healthcare.
What is Dr. Detra Michelle Tisdale's office phone number?
The practice phone on file for Dr. Tisdale is (662) 932-9000.
What is Dr. Detra Michelle Tisdale's medical license number?
Dr. Tisdale holds Tennessee license 46435, one of the licenses on file in 3 states.
Which states has Dr. Detra Michelle Tisdale been licensed in?
Dmand AI has state licenses on file for Dr. Tisdale in Tennessee, Georgia and Louisiana.
Which hospitals is Dr. Detra Michelle Tisdale affiliated with?
Dr. Tisdale practices at Methodist Olive Branch Hospital in Olive Branch, Mississippi.
How long has Dr. Detra Michelle Tisdale been practicing?
Dr. Tisdale's NPI was assigned in 2006.
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