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

Kimberly Anne Tatum, NP

Individual provider Nurse Practitioner · NPI 1366704488

Kimberly Anne Tatum, NP is a Nurse Practitioner in Greensboro, North Carolina. Qualified in 2012, 14 years ago. Practices with Elizabeth Dewey MD, a 3-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
14
Licensed in
NC
In the registry since
2012
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4125 Lawndale Dr
Greensboro, NC 27455-1885
Phone: (336) 543-0786
Fax: (336) 234-5411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 608 Dawson St Ste 101, Wilmington, NC 28401-5712 — (910) 387-3788
  • 608 Dawson St Ste 103, Wilmington, NC 28401-5712 — (910) 387-3745

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5005656 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5005656 (NC)

Record details

NPI number1366704488
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 14, 2012
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 9, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Elizabeth Dewey Md — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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