Kimberly Anne Tatum
N.P. | Nurse Practitioner | 13+ years Exp
4125 Lawndale Dr, Greensboro
North Carolina, 27455-1885
336-543-0786
Kimberly Anne Tatum is a Greensboro, North Carolina based nurse practitioner with 13 years of experience in . She completed her graduation in 2012. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kimberly Anne Tatum is 5005656 in North Carolina. Her current practice location is 4125 Lawndale Dr, Greensboro. Patients can reach her at 336-543-0786 or can fax her at 336-234-5411. Kimberly Anne Tatum is N.P. and her NPI number (Unique professional ID assigned by NPPES) is 1366704488.
Kimberly Anne Tatum has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kimberly Anne Tatum speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kimberly Anne Tatum |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | N.P. |
| Experience: | 13+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2012 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 4125 Lawndale Dr, Greensboro,
North Carolina, 27455-1885 |
| Phone: | 336-543-0786 |
| Fax: | 336-234-5411 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 5193971646 |
| Enrollment ID: | I20120816000006 |
| NPI Number: | 1366704488 |
| NPI Enumeration Date: | 14 Jun, 2012 |
| NPI Last Update On: | 11 Sep, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kimberly Anne Tatum are as mentioned below.
| License Number | Specialization | State | Status | |
| 5005656 | | North Carolina | Primary | |
| 5005656 | Family | North Carolina | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kimberly Anne Tatum is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Elizabeth Dewey Md (7416206644) | 3 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kimberly Anne Tatum such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 7006143 | Medicaid | North Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kimberly Anne Tatum
219 Juniper Creek Blvd,
Pinehurst, North Carolina |
| Zip: | 28374-6819 |
| Phone Number: | 330-416-3833 |
Patients can reach Kimberly Anne Tatum at
4125 Lawndale Dr, Greensboro, North Carolina or can
call to book an appointment on 336-543-0786.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.