Active NPI
Lindsey Rene Tatum, NP-C
- Adult Health Nurse Practitioner
- Waycross, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN190678
- Practice address
- 215 Pendleton St Ste 213
Waycross, GA 31501-2329 - Phone
- (912) 640-1008
- Fax
- (912) 640-1009
- NPI assigned
- Aug 21, 2012
- Last updated
- Jul 22, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN190678 | GA | |
| Adult Health Nurse Practitioner | 363LA2200X | RN190678 | GA | Primary |
Addresses
Primary practice location
215 Pendleton St Ste 213
Waycross, GA 31501-2329
Mailing address
1501 Alice St
Waycross, GA 31501-4530
Phone (912) 285-0877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN190678 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| Mending Minds Psychiatry, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| Unison Behavioral Health | Current | Accepting new patients | |
| Unison Behavioral Health | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964
101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285
1007 Mary St
Waycross, GA 31503
Phone (912) 284-2547
215 Pendleton St
Ste 213
Waycross, GA 31501
Phone (912) 640-1008
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1013313857
-
- Community/Behavioral Health Agency
- Waycross, GA
- NPI 1528104866
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
GA, Psychiatric/Mental Health
-
- Psychiatric/Mental Health Nurse Practitioner
- Waycross, GA
- NPI 1043009160
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356907273
-
- Counselor
- Homerville, GA
- NPI 1427368539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1659629772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 ALICE ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315014530",
"telephone_number": "912-285-0877",
"fax_number": "912-287-0387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 PENDLETON ST STE 213",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315012329",
"telephone_number": "912-640-1008",
"fax_number": "912-640-1009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATUM",
"first_name": "LINDSEY",
"middle_name": "RENE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-21",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "RN190678",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "RN190678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waycross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.