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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. MEREDITH MICHELLE TATUM PA-C
NPI 1174961304
Physician Assistant - Medical in Flowery Branch, GA

Active since June 10, 2013PECOS Enrolled
4038 WINDER HWY, FLOWERY BRANCH, GA 30542(678) 693-2364(678) 866-2348 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 17, 2026, Oct 5, 2018 (2 updates tracked since 2018).

About Ms. Meredith Michelle Tatum Pa-c NPPES

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

MS. MEREDITH MICHELLE TATUM PA-C (NPI 1174961304) is an individual medical provider in Flowery Branch, Georgia, licensed in Georgia (6834) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174961304
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. MEREDITH MICHELLE TATUMCredential: PA-C
Location Address4038 WINDER HWYFlowery Branch, GA 30542-3021
Mailing Address4038 Winder HwyFlowery Branch, GA 30542-3021 · (678) 693-2364
Phone(678) 693-2364
Fax(678) 866-2348
Sole ProprietorYes
Enumeration DateJune 10, 2013
Last NPPES UpdateSeptember 17, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1174961304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 6834
4038 WINDER HWY, Flowery Branch, GA 30542
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Meredith Michelle Tatum Pa-c

Other Identifiers 1

Medicaid003168393AGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Meredith Michelle Tatum Pa-c 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.

Other Providers at the Same Location NPPES 2

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

JEAN LEE VARNER FNP-C
Nurse Practitioner (Family)
4038 WINDER HWY
FLOWERY BRANCH, GA 30542
Hall County (678) 693-2364
MR. KEVIN ERIC GLENN JACKSON MSN, APRN, FNP-C
Nurse Practitioner (Family)
4038 WINDER HWY
FLOWERY BRANCH, GA 30542
Hall County (678) 693-2364

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 Meredith Tatum's NPI number?

The NPI number for Meredith Tatum is 1174961304. It was assigned to this individual provider in the NPPES registry on June 10, 2013. The provider is also known as Ms. Meredith Michelle Tatum Pa-C.

Where is Meredith Tatum located?

Meredith Tatum practices at 4038 Winder Hwy, Flowery Branch, GA 30542. The listed phone number is (678) 693-2364.

What is Meredith Tatum's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Meredith Tatum enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Meredith Tatum was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.