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

Miss. Mercedes R Tatum, PA

Individual provider Physician Assistant · NPI 1891514162

Miss. Mercedes R Tatum, PA is a Physician Assistant in Gainesville, Georgia. Graduated from Philadelphia College of Osteopathic Medicine in 2024, 2 years ago. Practices with Kidney Care Center of Georgia LLC, a 24-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
GA
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

663 Lanier Park Dr
Gainesville, GA 30501-2059
Phone: (678) 450-0202
Fax: (678) 450-0080
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12598 (GA)

Record details

NPI number1891514162
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 4, 2024
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2024 (2 years in practice)
Group practice Kidney Care Center Of Georgia Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gainesville