DR. JOLYN INEZ TATUM PHD
NPI 1265674709
Psychologist - Health in Maxwell Afb, AL

Q: What is Jolyn Tatum's NPI number?

The NPI number for Jolyn Tatum is 1265674709. It was assigned to this individual provider in the NPPES registry on March 30, 2009.

Q: What is Jolyn Tatum's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health, with taxonomy code 103TH0004X.

Q: When was this NPI record last updated?

The NPPES record for Jolyn Tatum was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since March 30, 2009

42D MEDICAL GROUP, 300 S. TWINING ST., BLDG 760, MAXWELL AFB, AL 36112(334) 953-5200 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2024, Oct 23, 2023, Mar 15, 2023 and 2 more (5 updates tracked since 2022).

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About Dr. Jolyn Inez Tatum Phd NPPES

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

DR. JOLYN INEZ TATUM PHD (NPI 1265674709) is an individual health provider in Maxwell Afb, Alabama, licensed in Delaware (B1-0000907) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1265674709

Entity TypeIndividualFemale

Primary Taxonomy103TH0004X

Provider Legal NameDR. JOLYN INEZ TATUMCredential: PHD

Location Address42D MEDICAL GROUP, 300 S. TWINING ST., BLDG 760Maxwell Afb, AL 36112-6027

Mailing Address42d Medical Group, 300 S. Twining St., Bldg 760Maxwell Afb, AL 36112-6027 · (334) 953-5200

Phone(334) 953-5200

Sole ProprietorYes

Enumeration DateMarch 30, 2009

Last NPPES UpdateNovember 15, 20245 updates tracked since enumeration

NPPES CertifiedNovember 13, 2024

✔ NPI 1265674709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · HealthBehavioral Health & Social Service Providers

Taxonomy Code103TH0004X

License✔ Licensed in DE · B1-0000907

Definition

A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License B1-0000907 (DE)

42D MEDICAL GROUP, Maxwell Afb, AL 36112

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Other Providers at the Same Location NPPES 14

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

DR. ROSS MICHAEL CANUP M.D.

Family Medicine

42D MEDICAL GROUP, 300 S. TWINING ST. BLDG 760
MAXWELL AFB, AL 36112

Montgomery County (334) 953-5200

DR. JUSTIN E SANDHOLM O.D.

Optometrist

42D MEDICAL GROUP, 300 SOUTH TWINING STREET, BLDG 760
MONTGOMERY, AL 36112

Montgomery County (334) 953-5200

KATLYN GORGUS

Military Health Care Provider (Independent Duty Medical Technicians)

42D MEDICAL GROUP, 300 S. TWINING ST., BLDG 760
MAXWELL AFB, AL 36112

Montgomery County (580) 481-7082

MR. CHRISTOPHER W. KELLY FNP-C APRN, MSN, MSM

Nurse Practitioner (Family)

42D MEDICAL GROUP, 300 S. TWINING ST BLDG 760
MAXWELL AFB, AL 36112

Montgomery County (334) 953-5200

RANDI HUGHEY LICSW

Social Worker (Clinical)

42D MEDICAL GROUP, 300 S TWINING ST BLDG 760
MAXWELL AFB, AL 36112

Montgomery County (334) 953-3368

MRS. SARAH MILLER LICSW

Social Worker (Clinical)

42D MEDICAL GROUP, 300 S. TWINNING ST. BLDG 760
MAXWELL AFB, AL 36112

Montgomery County (334) 953-5200

JOHN CAMPBELL JR.

Psychologist

42D MEDICAL GROUP, 300 TWINING STREET
MAXWELL AFB, AL 36112

Montgomery County (334) 953-5143

DR. NIKKI LOUISE MOCHKO D.D.S.

Dentist

42D MEDICAL GROUP, 300 S TWINING ST BLDG 760
MAXWELL AFB, AL 36112

Montgomery County (334) 953-5200

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 Jolyn Tatum's NPI number?

The NPI number for Jolyn Tatum is 1265674709. It was assigned to this individual provider in the NPPES registry on March 30, 2009.

Where is Jolyn Tatum located?

Jolyn Tatum practices at 42D Medical Group 300 S. Twining St., Bldg 760, Maxwell Afb, AL 36112. The listed phone number is (334) 953-5200.

What is Jolyn Tatum's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health, with taxonomy code 103TH0004X.

When was this NPI record last updated?

The NPPES record for Jolyn Tatum was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.