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

Mr. Derek John Tatum

Individual provider Physician Assistant · NPI 1013488246

Mr. Derek John Tatum is a Physician Assistant in Midlothian, Virginia. Qualified in 2019, 7 years ago. Practices with Orthovirginia Inc, a 570-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
7
Licensed in
VA
In the registry since
2018
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11020 Hull Street Rd
Midlothian, VA 23112-3200
Phone: (804) 744-6310
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 0110006682 (VA)

Record details

NPI number1013488246
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 16, 2018
Last updated in NPPESMarch 30, 2022
Certification dateMarch 30, 2022
Mailing address5000 Cox Rd, Glen Allen, VA 23060-9263

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Orthovirginia Inc — 570 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Midlothian