TATUM JOHNSON
NPI 1124971437
Occupational Therapist in Grand Haven, MI
About Tatum Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TATUM JOHNSON (NPI 1124971437) is an individual occupational therapist in Grand Haven, Michigan, licensed in Michigan (5201014496) and active in the NPI registry since February 2026. She is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tatum Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tatum Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Haven, MI 49417
- Reassigned Medicare billing, Michigan enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Tatum Johnson's NPI number?
The NPI number for Tatum Johnson is 1124971437. It was assigned to this individual provider in the NPPES registry on February 17, 2026.
Where is Tatum Johnson located?
Tatum Johnson practices at 16925 Ability Way, Grand Haven, MI 49417. The listed phone number is (616) 935-7606.
What is Tatum Johnson's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Tatum Johnson enrolled in Medicare?
Yes. Tatum Johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tatum Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tatum Johnson reassigns Medicare benefits to The Shoreline Center LLC (Grand Haven, MI). The 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 Tatum Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tatum Johnson accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Tatum Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tatum Johnson was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.