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VAUGHN D TATUM M.D.
NPI 1841309994
Internal Medicine in Decatur, GA

Active since August 30, 2006PECOS Enrolled
1834 CLAIRMONT RD # 100, DECATUR, GA 30033(404) 634-4443(708) 848-5270 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Vaughn D Tatum M.d. NPPES

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

VAUGHN D TATUM M.D. (NPI 1841309994) is an individual internal medicine provider in Decatur, Georgia, licensed in Illinois (036-056693) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Oak Park.

NPPES Registry Identity

NPI1841309994
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameVAUGHN D TATUMCredential: M.D.
Location Address1834 CLAIRMONT RD # 100Decatur, GA 30033-3405
Mailing Address4085 Creekview Ridge DrBuford, GA 30518-8743 · (773) 587-2616
Phone(404) 634-4443
Fax(708) 848-5270
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateSeptember 18, 2020
NPPES CertifiedSeptember 18, 2020
✔ NPI 1841309994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036-056693
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1834 CLAIRMONT RD # 100, Decatur, GA 30033
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Secondary Practice Location 1

Location 1610 S Maple Ave, Suite 2100Oak Park, IL 60304-1091 · Phone (708) 848-7673 · Fax (708) 848-5270

Other Identifiers 1

Medicaid036056693IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vaughn D Tatum M.d. 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 Reassignment

Medicare enrollment records show Vaughn Tatum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peachtree Immediate Care Fp, LLC
27 mi
Family Medicine
3827 JIMMY LEE SMITH PKWY
Hiram, GA 30141
  • Reassigned Medicare billing, Georgia enrollment
  • 551 clinicians in this Medicare group
NPI 1437194156 (770) 222-8900

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 30033 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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 Vaughn Tatum's NPI number?

The NPI number for Vaughn Tatum is 1841309994. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Vaughn Tatum located?

Vaughn Tatum practices at 1834 Clairmont Rd # 100, Decatur, GA 30033. The listed phone number is (404) 634-4443.

What is Vaughn Tatum's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Vaughn Tatum enrolled in Medicare?

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

Which organization bills Medicare for Vaughn Tatum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vaughn Tatum reassigns Medicare benefits to Peachtree Immediate Care Fp, LLC (Hiram, 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 Vaughn Tatum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Vaughn Tatum was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.