Individual provider Active NPI

Lashaunta McLamb Tatum, NP

  • Women's Health Nurse Practitioner
  • Clayton, NC
National Provider Identifier
1942194832
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
104822433 Issued in NC
Practice address
27 Ross Farm LN
Clayton, NC 27527-8907
Phone
(910) 818-7970
NPI assigned
Jun 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 104822433 NC Primary

Addresses

Primary practice location

27 Ross Farm LN
Clayton, NC 27527-8907

Mailing address

27 Ross Farm LN
Clayton, NC 27527-8907
Phone (910) 818-7970

Other practice location 1

500 Holly Springs Rd Ste 101
Holly Springs, NC 27540-6204
Phone (919) 762-5113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20260605000283 NC Practitioner - Nurse Practitioner 0941771422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1011 Rock Quarry Rd
Raleigh, NC 27610-3825

1425 Promise Beacon Cir
Suite 215
Raleigh, NC 27610-3955

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104822433NCMDWomen's Health Nurse Practitioner

Organizations & group practices 1

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": "1749081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1942194832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 ROSS FARM LN",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275278907",
            "telephone_number": "910-818-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 ROSS FARM LN",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275278907",
            "telephone_number": "910-818-7970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Holly Springs Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "NC",
            "postal_code": "275406204",
            "country_code": "US",
            "telephone_number": "919-762-5113",
            "fax_number": "919-948-7766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATUM",
        "first_name": "LASHAUNTA",
        "middle_name": "MCLAMB",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-05",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NC",
            "license": "104822433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

Verify at the official NPI Registry.