Trevor Lee Tatum

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1909 Issued in AL

Practice address

15232 Greenfield Dr
Athens, AL 35613-2897

Phone

(256) 233-1650

Fax

(256) 233-7244

NPI assigned

Jan 25, 2022

Last updated

Sep 10, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Valley Ear Nose and Throat Associates PC

  • Specialist
  • Athens, AL
  • NPI 1912050352
  NPD (past)

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1710639356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 WILD RIDGE CIR",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242528",
            "telephone_number": "706-594-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15232 GREENFIELD DR",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132897",
            "telephone_number": "256-233-1650",
            "fax_number": "256-233-7244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331927",
            "country_code": "US",
            "telephone_number": "205-933-8101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATUM",
        "first_name": "TREVOR",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-25",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "1909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Patrice Tait
• Talladega Family Health Center LLC
• Sara Glenn Tanksley, PHARMD
• Lynda Tapscott, RN
• Julius Tate, PHARMD
• Kenyatta Taylor
• Joseph Barrett Teeples, CRNP
• Bibi Lee Teng, MD
• Tennessee Valley Healthcare LLC (Limestone Drug)
• Margaret Terrell, CRNP

• Surgical Physician Assistant in Athens, AL
• Providers in Athens, AL by specialty
• Surgical Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.