Mallory Tatum, P.A.
NPI 1467978403 · Physician Assistant · Lakeland, TN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mallory Tatum, P.A. is a Physician Assistant provider in Lakeland, TN (NPI 1467978403).
Provider details
- NPI number
- 1467978403
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
- License
- 3352 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
8 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
11 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$150 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (10)
- 255 Baptist Blvd Ste 401Columbus, MS 39705-2006Phone: (662) 244-2288
- 100 Baptist Memorial Cir Ste 200Oxford, MS 38655-4476Phone: (662) 513-3246
- 2301 S Lamar Blvd Ste 140Oxford, MS 38655-5373Phone: (662) 513-3246
- 7736 Airways BlvdSouthaven, MS 38671-5306Phone: (662) 772-5222
- 401 Southcrest Cir Ste 201Southaven, MS 38671-6721Phone: (901) 226-0456
- 2550 Parr AveDyersburg, TN 38024-2033Phone: (731) 325-5678
- 2550 Parr AveDyersburg, TN 38024-2033Phone: (731) 325-5678
- 7600 Wolf River BlvdSte 200Germantown, TN 38138Phone: (901) 747-1000Fax: (901) 747-1001
- 9160 Highway 64 Ste 105Lakeland, TN 38002-3011Phone: (901) 213-0100
Registry dates
- Enumerated
- 2017-08-22
- Last updated
- 2020-03-26
- Certified
- 2020-03-26
Frequently asked questions
- What is Mallory Tatum's NPI number?
- Mallory Tatum's National Provider Identifier (NPI) is 1467978403, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mallory Tatum's specialty?
- Mallory Tatum is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mallory Tatum located?
- Mallory Tatum's practice location on file with NPPES is 9160 Highway 64 Ste 105, Lakeland, TN 38002-3011.
- What is Mallory Tatum's phone number?
- The practice phone number listed in the NPPES registry for Mallory Tatum is (901) 213-0100.
- Does Mallory Tatum accept Medicare?
- Mallory Tatum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mallory Tatum's NPI active?
- Yes — Mallory Tatum's NPI (1467978403) is active in the NPPES registry as of the last update on 2020-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.