Tarah Chatham, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

901435 Issued in MS

Practice address

6798 US Highway 98 Suite 30
Hattiesburg, MS 39402

Phone

(601) 596-9053

Fax

(601) 336-6615

NPI assigned

Feb 8, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FIDHDD/Endpoint/FIDHDD

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.

• Legacy Family Care Clinic

  • Primary Care Clinic/Center
  • Hattiesburg, MS
  • NPI 1003620675
  Medicare reassignment NPD Authorized official
• Hub City Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Hattiesburg, MS
  • NPI 1366404311
  NPD (past)

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1811355605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6798 HIGHWAY 98 SUITE 30",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39402",
            "telephone_number": "601-596-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6798 US HIGHWAY 98 SUITE 30",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39402",
            "telephone_number": "601-596-9053",
            "fax_number": "601-336-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATHAM",
        "first_name": "TARAH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "901435",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06158839",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nora Elizabeth Charles, PHD
• Constantine P Charoglu, M.D.,
• Melissa Chastang, ATC, CSCS, NREMT
• Chantel Nicole Chatham, MS, RD, LD
• Rick Chatham
• Chatter Box Therapy Services, PLLC
• Bhanu Chaudhary, M.B.B.S.
• Barbara Anne Cheatle, LMSW
• Cherub Care Transit Servicesllc
• Tsitsi Yvonne Chigwida

• Family Nurse Practitioner in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.