Individual provider Active NPI

Robert K Tatum, M.D.

  • Obstetrics Physician
  • Knoxville, TN
National Provider Identifier
1699798884
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
MD014732 Issued in TN
Practice address
10810 Parkside Dr Ste 100
Knoxville, TN 37934-1980
Phone
(865) 218-6660
Fax
(865) 218-6661
NPI assigned
Jul 26, 2006
Last updated
Sep 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X MD014732 TN Primary

Addresses

Primary practice location

10810 Parkside Dr Ste 100
Knoxville, TN 37934-1980

Mailing address

10810 Parkside Dr Ste 100
Knoxville, TN 37934-1980
Phone (865) 218-6660

Other identifiers 1

IdentifierTypeStateIssuer
3003029MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address robert.tatum.1@4694.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110322000208 TN Practitioner - Obstetrics/Gynecology 8123008877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD014732TNMDObstetrics Physician
14732TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee Regional OB/GYN Associates PC Obstetrics CurrentSince Jul 22, 2004 Accepting new patients
Knoxville Hma Physician Management, LLC CurrentSince Nov 15, 2012 Accepting new patients

Locations

101 E Blount Ave
Ste 650
Knoxville, TN 37920
Phone (865) 632-5058

10810 Parkside Dr
Ste 100
Knoxville, TN 37934
Phone (865) 218-6699

10810 Parkside Dr
Ste G-11
Knoxville, TN 37934
Phone (865) 218-6660

9546 S Northshore Dr
Knoxville, TN 37922
Phone (865) 521-6005

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4
  • Direct secure messaging: robert.tatum.1@15627.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1699798884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DR STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341980",
            "telephone_number": "865-218-6660",
            "fax_number": "865-218-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DR STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341980",
            "telephone_number": "865-218-6660",
            "fax_number": "865-218-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUM",
        "first_name": "ROBERT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TN",
            "license": "MD014732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3003029",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.tatum.1@4694.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "10810 Parkside Dr Ste 100",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379341980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.