DENISHIA KARNELL TATUM CPNP-PC
NPI 1760949473
Nurse Practitioner - Pediatrics in Columbus, GA

Active since February 28, 2019PECOS Enrolled
1110 13TH ST, COLUMBUS, GA 31901(706) 641-2462 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 8, 2025, Jul 23, 2024, Feb 28, 2019 (3 updates tracked since 2019).

About Denishia Karnell Tatum Cpnp-pc NPPES

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

DENISHIA KARNELL TATUM CPNP-PC (NPI 1760949473) is an individual pediatrics provider in Columbus, Georgia, licensed in Alabama (1-113817) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760949473
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameDENISHIA KARNELL TATUMCredential: CPNP-PC
Location Address1110 13TH STColumbus, GA 31901-2246
Mailing Address7020 Spring Walk DrColumbus, GA 31904-2717 · (762) 822-9877
Sole ProprietorNo
Enumeration DateFebruary 28, 2019
Last NPPES UpdateOctober 8, 20253 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1760949473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in AL · 1-113817✔ Licensed in GA · RN205644
1110 13TH ST, Columbus, GA 31901

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Denishia Karnell Tatum Cpnp-pc 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Denishia Tatum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adolescent Medicine
210 HANNAHS MILL RD
Thomaston, GA 30286
  • Reassigned Medicare billing, Georgia enrollment
  • 10 clinicians in this Medicare group
Pediatrics
189 JEFFERSON PKWY
Newnan, GA 30263
  • Reassigned Medicare billing, Georgia enrollment
  • 22 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31901 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 20

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

Behavior Technician
1110 13TH ST
COLUMBUS, GA 31901
Behavior Technician
1110 13TH ST
COLUMBUS, GA 31901
Behavior Technician
1110 13TH ST
COLUMBUS, GA 31901
Behavior Technician
1110 13TH ST
COLUMBUS, GA 31901
Behavior Analyst
1110 13TH ST
COLUMBUS, GA 31901
Behavior Technician
1110 13TH ST
COLUMBUS, GA 31901
Behavior Technician
1110 13TH ST
COLUMBUS, GA 31901
Behavior Technician
1110 13TH ST
COLUMBUS, GA 31901

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 Denishia Tatum's NPI number?

The NPI number for Denishia Tatum is 1760949473. It was assigned to this individual provider in the NPPES registry on February 28, 2019.

Where is Denishia Tatum located?

Denishia Tatum practices at 1110 13th St, Columbus, GA 31901. The listed phone number is (706) 641-2462.

What is Denishia Tatum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Denishia Tatum enrolled in Medicare?

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

Which organizations bill Medicare for Denishia Tatum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denishia Tatum reassigns Medicare benefits to 2 organizations: Zoe Center For Pediatric & Adolescent Health, LLC (Thomaston, GA) and Piedmont Pediatric Physicians LLC (Newnan, GA). Each 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 Denishia Tatum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denishia Tatum accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Denishia 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 Denishia Tatum was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.