MR. BRANDON TATUM (NPI# 1457887614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457887614 |
| Entity Type | Individual |
| Full Name | MR. BRANDON TATUM |
| Practice Address |
4449 Covington Hwy Decatur GA 30035-1214 |
| Practice Telephone | 4042542973 |
| Mailing Telephone | 4042542973 |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2018-10-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
4449 COVINGTON HWY |
| City | DECATUR |
| State | GA |
| Zip Code | 30035-1214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770047813 | Jeavaat Medical LLC | Durable Medical Equipment & Medical Supplies | 4449 Covington Hwy, Decatur, GA 30035-1214 | 2019-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972079978 | James L Vinson, Phd | Home Health Aide | 4050 Snapfinger Woods Drive, Suite 201, Decatur, GA 30035 | 2018-10-17 |
| 1417445206 | Kamla Gonzales | Nurse Practitioner | 5146 Miller Woods Trl, Decatur, GA 30035 | 2018-04-26 |
| 1578924924 | Alicia Marie Johnson Bryant | Social Worker | 5878 Covington Hwy, Decater, GA 30035 | 2016-03-14 |
| 1568865756 | Tracy Roberson | Counselor | 4150 Snapfinger Woods Drive, Decatur, GA 30035 | 2014-10-01 |
| 1972927861 | Tyrone D. Lane Enterprises, Incorporated | Psychologist | 5304 Panola Industrial Boulevard, Suite L, Decatur, GA 30035 | 2014-02-12 |
| 1013255355 | Mervin E Williams | Pharmacist | 2075 South Hairston, Decatur, GA 30035 | 2013-01-22 |
| 1205187572 | Mariana Simpson-walker | Speech-Language Pathologist | 4262 Clausell Ct Ste A, Decatur, GA 30035 | 2012-09-27 |
| 1053683854 | Jimiesh G Crane | Dentist | 5243 Snapfinger Woods Dr Ste 105, Decatur, GA 30035 | 2012-02-08 |
| 1568765824 | Salih Robinson | Health Educator | 2511 Lantrac Ct, Decatur, GA 30035 | 2010-12-08 |
| 1831428234 | Thomas Counseling | Counselor | 3781 Presidential Parkway, Suite 111c, Chamblee, GA 30035 | 2009-12-14 |
| Find all providers in zip 30035 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306401534 | Mary Evelyn Hoskins | Contractor | 2a Quail Run, Decatur, GA 30035-4108 | 2019-05-02 |
| 1518422831 | Whitney Tucker | Contractor | 2529 Terrace Trl, Decatur, GA 30035-3514 | 2019-02-01 |
| 1740658384 | Tomiko Granada Mcghee | Contractor | 3030 Waldrop Cir, Decatur, GA 30034-6797 | 2015-09-14 |
| 1508004037 | Sandra Ann Parker | Contractor | 3604 Six Oaks Ct, Decatur, GA 30034-4782 | 2009-01-21 |
| 1841323318 | Mmg, LLC | Contractor | 317 Bank St Ne, Decatur, AL 35601-1601 | 2007-03-14 |
| 1821557265 | Latiesha Colise James | Contractor | 2529 Terrace Trl, Decatur, GA 30035-3514 | 2019-03-15 |
| 1356724827 | Christopher Danbury | Contractor | 1184 W Main St, Griswold Physical Education Center, Decatur, IL 62522-2039 | 2015-07-02 |
| 1760659825 | Neurospectrum, Ltd. | Contractor | 2000 S Fm 51, Decatur, TX 76234-3702 | 2008-05-08 |
| 1902077746 | Neurospectrum, Ltd. | Contractor | 2000 S Fm 51, C/o Sleep Specialties, West Campus, Decatur, TX 76234-3702 | 2008-03-20 |
| 1134273345 | 4md2 In Patient Physician Services of Decatur LLC | Contractor | 1201 7th St Se, Decatur, AL 35601-3337 | 2007-01-23 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.