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

Scott A Tatum

Individual provider Surgical Physician Assistant · NPI 1205877842

Scott A Tatum is a Physician Assistant in Salt Lake City, Utah. Qualified in 1999, 27 years ago. Practices with Emory Medical Care Foundation Inc, a 996-clinician group and accepts Medicare assignment. Licensed in Georgia and Utah.

Years since qualifying
27
Licensed in
GA, UT
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1160 E 3900 S Ste 2000
Salt Lake City, UT 84124-1202
Phone: (801) 266-3418
Fax: (801) 288-4444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 10064 (GA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 377832-1206 (UT)

Record details

NPI number1205877842
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 8, 2006
Last updated in NPPESFebruary 21, 2023
Certification dateFebruary 21, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Emory Medical Care Foundation Inc — 996 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Salt Lake City