Individual provider Active NPI

Denishia Karnell Tatum, CPNP-PC

  • Pediatric Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1760949473
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1-113817 Issued in AL
Practice address
1110 13TH St
Columbus, GA 31901-2246
Phone
(706) 641-2462
NPI assigned
Feb 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1-113817 AL Primary
Pediatric Nurse Practitioner 363LP0200X RN205644 GA

Addresses

Primary practice location

1110 13TH St
Columbus, GA 31901-2246

Mailing address

7020 Spring Walk Dr
Columbus, GA 31904-2717
Phone (762) 822-9877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200713001379 GA Practitioner - Nurse Practitioner 8426471293 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-113817ALMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zoe Center for Pediatric & Adolescent Health, LLC CurrentSince Jun 17, 2020 Accepting new patients
Piedmont Pediatric Physicians LLC CurrentSince Jul 29, 2024 Accepting new patients
Caring for Kids Past Accepting new patients
Zoe Pediatric After Hours Care, Inc PastSince Oct 15, 2023 Accepting new patients

Locations

229 Highway 41 N
Ste A
Barnesville, GA 30204

229 Highway 41 N
Ste D
Barnesville, GA 30204

1110 13th St
Columbus, GA 31901
Phone (706) 494-8900

959 17th St
Ste B
Columbus, GA 31901
Phone (706) 507-9127

1110 13th St
Bldg B
Columbus, GA 31901

1110 13th St
Bldg A
Columbus, GA 31901

3031 Williams Rd
Columbus, GA 31909
Phone (706) 221-7139

189 Jefferson Pkwy
Newnan, GA 30263
Phone (706) 369-5440

210 Hannahs Mill Rd
Thomaston, GA 30286
Phone (706) 646-4543

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJCHBA
  • FHIR API: https://api.platform.athenahealth.com/2949/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1760949473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7020 SPRING WALK DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319042717",
            "telephone_number": "762-822-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 13TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012246",
            "telephone_number": "706-641-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUM",
        "first_name": "DENISHIA",
        "middle_name": "KARNELL",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-113817",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN205644",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.