Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Khea Marie Tan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255960860

Khea Marie Tan is a General Surgery in Atlanta, Georgia. Graduated from Temple University School of Medicine in 2020, 6 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Trained at
Temple University School of Medicine
Licensed in
GA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

101 Woodruff Circle Wmb Ste 51505
Atlanta, GA 30322-4859
Phone: (855) 366-7989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1945 State Route 33, Neptune, NJ 07753-4859 — (732) 775-5500

Specialties & licences

Transplant Surgery Physician (primary) Taxonomy 204F00000X · Licence 102988 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255960860
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 6, 2020
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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