EILEEN DILKS TATUM MD
NPI 1386202612
Family Medicine in Johns Creek, GA
About Eileen Dilks Tatum Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EILEEN DILKS TATUM MD (NPI 1386202612) is an individual family medicine provider in Johns Creek, Georgia, licensed in Georgia (101543) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Emory University School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
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
Eileen Dilks Tatum Md 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 Eileen Tatum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Johns Creek, GA 30097
- Reassigned Medicare billing, Georgia enrollment
- 25 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside Hospital Forsyth
Acute Care Hospitals · Cumming, GANorthside Hospital
Acute Care Hospitals · Atlanta, GAEmory Johns Creek Hospital
Acute Care Hospitals · Johns Creek, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30097 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Eileen Tatum's NPI number?
The NPI number for Eileen Tatum is 1386202612. It was assigned to this individual provider in the NPPES registry on June 2, 2019.
Where is Eileen Tatum located?
Eileen Tatum practices at 11315 Johns Creek Pkwy, Johns Creek, GA 30097. The listed phone number is (770) 709-6922.
What is Eileen Tatum's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Eileen Tatum enrolled in Medicare?
Yes. Eileen 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 Eileen Tatum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eileen Tatum reassigns Medicare benefits to Pandya Medical Center, Inc (Johns Creek, GA). 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 Eileen Tatum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Eileen Tatum accept?
Health plans from Alliant Health Plans, Inc. list Eileen 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.
Is Eileen Tatum affiliated with any hospitals?
According to CMS data, Eileen Tatum is affiliated with Northside Hospital Forsyth, Northside Hospital and Emory Johns Creek Hospital.
When was this NPI record last updated?
The NPPES record for Eileen Tatum was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Eileen Dilks Tatum, MD · NPI 1386202612
Family Medicine physician in Johns Creek, Georgia. Individual provider, active in the CMS NPPES registry since June 2, 2019.
## Identity
- **NPI:** 1386202612 (Entity type: Individual)
- **Enumerated:** June 2, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 101543 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 11315 JOHNS CREEK PKWY, Johns Creek, GA 30097-2645
- **Phone:** (770) 709-6922 · **Fax:** (770) 709-6910
## 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:** Pandya Medical Center, Inc (NPI 1730501586, Johns Creek, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Emory University School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** December 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1386202612) · Data from the CMS NPPES public registry.