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TATUM MEDICAL CLINIC
NPI 1912138967
Internal Medicine in Jackson, MS

Active since August 06, 2009
5903 RIDGEWOOD RD STE 330, JACKSON, MS 39211(601) 421-3454(601) 899-3920 Get Directions Write a Review

NPPES record last updated: August 6, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tatum Medical Clinic NPPES

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

TATUM MEDICAL CLINIC (NPI 1912138967) is a healthcare organization registered as an internal medicine in Jackson, Mississippi and active in the NPI registry since August 2009. The organization lists Robert E Tatum, Manager, as its authorized official.

NPPES Registry Identity

NPI1912138967
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTATUM MEDICAL CLINIC
Location Address5903 RIDGEWOOD RD STE 330Jackson, MS 39211-3702
Mailing Address5903 Ridgewood Rd Ste 330Jackson, MS 39211-3702 · (601) 421-3454 · Fax (601) 899-3920
Phone(601) 421-3454
Fax(601) 899-3920
Organization SubpartNo
Authorized OfficialRobert E TatumManager · (601) 421-3454
Enumeration DateAugust 6, 2009
✔ NPI 1912138967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MS · 16155
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.
5903 RIDGEWOOD RD STE 330, Jackson, MS 39211
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Other Identifiers 1

Medicaid0120001MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Tatum Medical Clinic's NPI number?

The NPI number for Tatum Medical Clinic is 1912138967. It was assigned to this organization in the NPPES registry on August 6, 2009.

Where is Tatum Medical Clinic located?

Tatum Medical Clinic is located at 5903 Ridgewood Rd Ste 330, Jackson, MS 39211. The listed phone number is (601) 421-3454.

What is Tatum Medical Clinic's specialty?

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

When was this NPI record last updated?

The NPPES record for Tatum Medical Clinic was last updated on August 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.