KIMBERLY ANNE TATUM N.P.
NPI 1366704488
Nurse Practitioner in Greensboro, NC
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, maintains 2 additional practice locations, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Tatum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greensboro, NC 27455
- Reassigned Medicare billing, North Carolina 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.
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.
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.
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.
GREENSBORO, NC 27455
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.
Which organization bills Medicare for Kimberly Tatum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Tatum reassigns Medicare benefits to Elizabeth Dewey MD (Greensboro, NC). 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 Kimberly Tatum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Tatum accept?
Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare 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 3 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.
# Kimberly Anne Tatum, N.P. · NPI 1366704488
Nurse Practitioner physician in Greensboro, North Carolina. Individual provider, active in the CMS NPPES registry since June 14, 2012.
## Identity
- **NPI:** 1366704488 (Entity type: Individual)
- **Enumerated:** June 14, 2012
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 5005656 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 4125 LAWNDALE DR, Greensboro, NC 27455-1885
- **Phone:** (336) 543-0786 · **Fax:** (336) 234-5411
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Elizabeth Dewey MD (NPI 1932652807, Greensboro, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** September 11, 2023
- **Other identifiers:** Medicaid 7006143 (NC)
---
Source: [NPI Profile](https://npiprofile.com/npi/1366704488) · Data from the CMS NPPES public registry.