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KIMBERLY ANNE TATUM N.P.
NPI 1366704488
Nurse Practitioner in Greensboro, NC

Active since June 14, 2012PECOS EnrolledAccepts Medicare Assignment
4125 LAWNDALE DR, GREENSBORO, NC 27455(336) 543-0786(336) 234-5411 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 12, 2022, Jan 24, 2022 (2 updates tracked since 2022).

About Kimberly Anne Tatum N.p. NPPES

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

KIMBERLY ANNE TATUM N.P. (NPI 1366704488) is an individual nurse practitioner in Greensboro, North Carolina, licensed in North Carolina (5005656) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1366704488
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIMBERLY ANNE TATUMCredential: N.P.
Location Address4125 LAWNDALE DRGreensboro, NC 27455-1885
Mailing Address219 Juniper Creek BlvdPinehurst, NC 28374-6819 · (330) 416-3833
Phone(336) 543-0786
Fax(336) 234-5411
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 14, 2012
Last NPPES UpdateSeptember 11, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2023
✔ NPI 1366704488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5005656
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 5005656 (NC)
4125 LAWNDALE DR, Greensboro, NC 27455
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Other Identifiers 1

Medicaid7006143NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

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

Kimberly Anne Tatum N.p. 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 ID5193971646
PECOS Enrollment IDI20120816000006
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
83 services34 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services18 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
18 services18 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27455 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
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 5

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

ANGELA MARIE MULLER F.N.P.
Nurse Practitioner
4125 LAWNDALE DR
GREENSBORO, NC 27455
Guilford County (336) 543-0786
SARA CAROLINE PASSEY PA-C
Physician Assistant
4125 LAWNDALE DR
GREENSBORO, NC 27455
Guilford County (336) 543-0786
ELIZABETH R DEWEY MD
Family Medicine
4125 LAWNDALE DR
GREENSBORO, NC 27455
Guilford County (336) 543-0786
MRS. EWA L BRENNAN R.N.,M.S.N.,A.N.P.,C
Nurse Practitioner (Family)
4125 LAWNDALE DR
GREENSBORO, NC 27455
Guilford County (336) 543-0786
ELIZABETH DEWEY MD
Family Medicine
4125 LAWNDALE DR
GREENSBORO, NC 27455
Guilford County (336) 543-0786

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 Kimberly Tatum's NPI number?

The NPI number for Kimberly Tatum is 1366704488. It was assigned to this individual provider in the NPPES registry on June 14, 2012.

Where is Kimberly Tatum located?

Kimberly Tatum practices at 4125 Lawndale Dr, Greensboro, NC 27455. The listed phone number is (336) 543-0786.

What is Kimberly Tatum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kimberly Tatum enrolled in Medicare?

Yes. Kimberly Tatum 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.

What insurance does Kimberly Tatum accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Kimberly Tatum 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 Kimberly Tatum was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.