Kathryn Tatum Elliott

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH029356 Issued in GA

Practice address

2545 E Walnut Ave
Dalton, GA 30721-8799

Phone

(706) 278-6555

NPI assigned

Oct 26, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kathryn Tatum Elliott Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1780284133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 STANDIFER HILLS DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 E WALNUT AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307218799",
            "telephone_number": "706-278-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "KATHRYN",
        "middle_name": "TATUM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "40519",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH029356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "ELLIOTT",
            "middle_name": "TATUM",
            "credential": "RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Husam Hisham Eid
• Rodger Henry Eidson, MD
• Cheryl Renee Eldridge, NP-C
• Elevated RX, LLC
• Elite Pain Consultants, PLLC
• David Ellis, LPC
• Leslie Elaine Ellis, PHD
• Chelsea Elrod
• Jim G. Elrod, RPH
• Kirsty J Elwell, PA-C

• Pharmacist in Dalton, GA
• Providers in Dalton, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.