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DEVESEA TATUM LCSW
NPI 1023417565
Social Worker - Clinical in Stockbridge, GA

Active since August 21, 2014PECOS Enrolled
255 CORPORATE CENTER DR STE C, STOCKBRIDGE, GA 30281(678) 478-2937 Get Directions Write a Review

NPPES record last updated: December 1, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 17, 2019, Oct 29, 2018, Oct 23, 2018 (3 updates tracked since 2018).

About Devesea Tatum Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEVESEA TATUM LCSW (NPI 1023417565) is an individual clinical provider in Stockbridge, Georgia, licensed in Georgia (CSW006032) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023417565
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDEVESEA TATUMCredential: LCSW
Location Address255 CORPORATE CENTER DR STE CStockbridge, GA 30281-7376
Mailing Address255 Corporate Center Dr Ste CStockbridge, GA 30281-7376 · (678) 478-2937
Phone(678) 478-2937
Sole ProprietorNo
Enumeration DateAugust 21, 2014
Last NPPES UpdateDecember 1, 20193 updates tracked since enumeration
✔ NPI 1023417565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in GA · CSW006032
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
255 CORPORATE CENTER DR STE C, Stockbridge, GA 30281
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Devesea Tatum Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Devesea Tatum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Peaceful Insight Counseling LLC
0.1 mi
Clinical
220 CORPORATE CENTER DR STE C
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
NPI 1194364075 (678) 478-2937
Pruitthealth Hospice, Inc.
18 mi
Hospice Care, Community Based
7345 RED OAK ROAD, BUILDING 25
Union City, GA 30291
  • Reassigned Medicare billing, Georgia enrollment
  • 47 clinicians in this Medicare group
NPI 1770740086 (770) 254-8612

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30281 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.84 – $172.43
Typical copayment $0.00 (range $14.21 – $43.10)
Most-billed visit code NA
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SKYLER ANDREW SMITH LPC
Counselor (Professional)
255 CORPORATE CENTER DR STE C
STOCKBRIDGE, GA 30281
Henry County (678) 982-4483
SATIN SANDERS LPC
Counselor (Mental Health)
255 CORPORATE CENTER DR STE C
STOCKBRIDGE, GA 30281
Henry County (678) 982-4483
FARAH S. JAMES APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
255 CORPORATE CENTER DR STE C
STOCKBRIDGE, GA 30281
Henry County (470) 256-0467
SEANNA TOSO LPC
Counselor (Professional)
255 CORPORATE CENTER DR STE C
STOCKBRIDGE, GA 30281
Henry County (762) 499-3403
INFINITE PEACE COUNSELING, LLC
Counselor (Professional)
255 CORPORATE CENTER DR STE C
STOCKBRIDGE, GA 30281
Henry County (404) 852-9311
TIFFANY MASON
Nurse Practitioner (Psychiatric/Mental Health)
255 CORPORATE CENTER DR STE C
STOCKBRIDGE, GA 30281
Henry County (470) 526-8929
HARVEST COUNSELING LLC
Counselor (Mental Health)
255 CORPORATE CENTER DR STE C
STOCKBRIDGE, GA 30281
Henry County (762) 499-3403
HEALINGROOTS PSYCHIATRY, LLC.
Psychiatry & Neurology (Psychiatry)
255 CORPORATE CENTER DR STE C
STOCKBRIDGE, GA 30281
Henry County (404) 951-1113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Devesea Tatum's NPI number?

The NPI number for Devesea Tatum is 1023417565. It was assigned to this individual provider in the NPPES registry on August 21, 2014.

Where is Devesea Tatum located?

Devesea Tatum practices at 255 Corporate Center Dr Ste C, Stockbridge, GA 30281. The listed phone number is (678) 478-2937.

What is Devesea Tatum's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Devesea Tatum enrolled in Medicare?

Yes. Devesea Tatum is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Devesea Tatum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Devesea Tatum reassigns Medicare benefits to 2 organizations: Peaceful Insight Counseling LLC (Stockbridge, GA) and Pruitthealth Hospice, Inc. (Union City, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Devesea Tatum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Devesea Tatum was last updated on December 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.