Active NPI
Robert K Tatum, M.D.
- Obstetrics Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- MD014732
- 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, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3003029 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110322000208 | TN | Practitioner - Obstetrics/Gynecology | 8123008877 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD014732 | TN | MD | Obstetrics Physician |
| 14732 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Tennessee Regional OB/GYN Associates PC | Obstetrics | Current | Accepting new patients |
| Knoxville Hma Physician Management, LLC | Current | 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
- https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4
- 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.
-
- Obstetrics Physician
- Knoxville, TN
- NPI 1205857430
-
- Pulmonary Disease Physician
- Knoxville, TN
- NPI 1629356969
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.