KHEA MARIE TAN
NPI 1255960860
Transplant Surgery in Atlanta, GA

Active since April 06, 2020PECOS EnrolledAccepts Medicare Assignment
101 WOODRUFF CIRCLE WMB SUITE 51505, ATLANTA, GA 30322(855) 366-7989 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2025, Apr 6, 2020 (2 updates tracked since 2020).

About Khea Marie Tan NPPES

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

KHEA MARIE TAN (NPI 1255960860) is an individual transplant surgery provider in Atlanta, Georgia, licensed in Georgia (102988) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and maintains a secondary practice location in Neptune.

NPPES Registry Identity

NPI1255960860
Entity TypeIndividualFemale
Primary Taxonomy204F00000X
Provider Legal NameKHEA MARIE TAN
Location Address101 WOODRUFF CIRCLE WMB SUITE 51505Atlanta, GA 30322-4859
Mailing Address5 Anderson CtSayreville, NJ 08872-1000
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2020
Enumeration DateApril 6, 2020
Last NPPES UpdateFebruary 11, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
NPI 1255960860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
License Licensed in GA · 102988
Definition
A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee
101 WOODRUFF CIRCLE WMB SUITE 51505, Atlanta, GA 30322

Secondary Practice Location 1

Location 11945 State Route 33Neptune, NJ 07753-4859 · Phone (732) 775-5500

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Khea Marie Tan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749797488
PECOS Enrollment IDI20250729000159
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

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.

Surgery
101 WOODRUFF CIRCLE WMB SUITE 51505
ATLANTA, GA 30322
Surgery
101 WOODRUFF CIRCLE WMB SUITE 51505
ATLANTA, GA 30322

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 Khea Tan's NPI number?

The NPI number for Khea Tan is 1255960860. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Khea Tan located?

Khea Tan practices at 101 Woodruff Circle Wmb Suite 51505, Atlanta, GA 30322. The listed phone number is (855) 366-7989.

What is Khea Tan's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Is Khea Tan enrolled in Medicare?

Yes. Khea Tan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Khea Tan affiliated with any hospitals?

According to CMS data, Khea Tan is affiliated with Emory University Hospital.

When was this NPI record last updated?

The NPPES record for Khea Tan was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.