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PATRICK GREGORY TATUM CRNP
NPI 1578940235
Nurse Practitioner in Fort Payne, AL

Active since May 01, 2015PECOS Enrolled
211 GREENHILL BLVD NW, FORT PAYNE, AL 35967(256) 845-9355 Get Directions Write a Review

NPPES record last updated: May 6, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Patrick Gregory Tatum Crnp NPPES

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

PATRICK GREGORY TATUM CRNP (NPI 1578940235) is an individual nurse practitioner in Fort Payne, Alabama, licensed in Alabama (1-136879) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578940235
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NamePATRICK GREGORY TATUMCredential: CRNP
Location Address211 GREENHILL BLVD NWFort Payne, AL 35967-3755
Mailing Address211 Greenhill Blvd NwFort Payne, AL 35967-3755 · (256) 717-9596
Phone(256) 845-9355
Sole ProprietorNo
Enumeration DateMay 1, 2015
Last NPPES UpdateMay 6, 2015
✔ NPI 1578940235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AL · 1-136879
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.
211 GREENHILL BLVD NW, Fort Payne, AL 35967
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patrick Gregory Tatum Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35967 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 2

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

NORTHSIDE MEDICAL, INC.
Clinic/Center (Primary Care)
211 GREENHILL BLVD NW
FORT PAYNE, AL 35967
Dekalb County (256) 845-9355
DR. ROBERT W THEAKSTON M.D.
General Practice
211 GREENHILL BLVD NW
FORT PAYNE, AL 35967
Dekalb County (256) 845-9355

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 Patrick Tatum's NPI number?

The NPI number for Patrick Tatum is 1578940235. It was assigned to this individual provider in the NPPES registry on May 1, 2015.

Where is Patrick Tatum located?

Patrick Tatum practices at 211 Greenhill Blvd NW, Fort Payne, AL 35967. The listed phone number is (256) 845-9355.

What is Patrick Tatum's specialty?

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

Is Patrick Tatum enrolled in Medicare?

Yes. Patrick Tatum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Patrick Tatum was last updated on May 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.