Ricky Tatum (NPI# 1073837555, PAC ID# 0042340630) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1073837555 |
| PAC ID by PECOS | 0042340630 |
| Professional Enrollment ID | I20100608000568 |
| Full Name | Ricky Tatum |
| Organization Legal Name | UNISON BEHAVIORAL HEALTH |
| Address |
3455 Harris Rd Waycross GA 31503-8960 |
| Phone Number | 9124497200 |
| Gender | M |
| Graduation Year | 1979 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7517852247 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3455 Harris Rd, Waycross, GA 31503-8960 | 9124497200 | UNISON BEHAVIORAL HEALTH |
| Organization Legal Name | UNISON BEHAVIORAL HEALTH |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natasha W Herrin | Clinical Social Worker | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Marvelous S Beckman | Clinical Social Worker | Unison Behavioral Health | 201 Brunel St, Waycross, GA 31501-2216 |
| Melissa Guthrie-thomas | Clinical Social Worker | Unison Behavioral Health | 1005 Shirley Ave, Douglas, GA 31533-2123 |
| Kimberly B Bennett | Clinical Social Worker | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Mitzi B Tyre | Nurse Practitioner | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Jessica Clark | Nurse Practitioner | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Ashlie L Avery | Clinical Social Worker | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Karen M Manac | Clinical Social Worker | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Kavita Kothari | Psychiatry | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Tiffany Henderson | Clinical Social Worker | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Street Address |
3455 HARRIS RD |
| City | WAYCROSS |
| State | GA |
| Zip | 31503-8960 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natasha W Herrin | Clinical Social Worker | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Kimberly B Bennett | Clinical Social Worker | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Mitzi B Tyre | Nurse Practitioner | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Jessica Clark | Nurse Practitioner | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Ashlie L Avery | Clinical Social Worker | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Karen M Manac | Clinical Social Worker | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Kavita Kothari | Psychiatry | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Tiffany Henderson | Clinical Social Worker | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Laura Smith | Clinical Social Worker | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Lindsey Tatum | Nurse Practitioner | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Find all physicians in zip 31503 | |||
| City | WAYCROSS |
| Zip Code | 31503 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WAYCROSS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Ricky Tatum.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.