Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Ricky O Tatum, PAC
Physician Assistant in Waycross, GA · enumerated 2010.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1073837555
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Registry record
Entity type Individual (Type 1)
Name Ricky O Tatum
Credential PAC
Sex Male
Practice address 306 Isabella St, Waycross, GA, 31501
Phone (912) 285-9990
Fax (912) 338-8931
Enumeration date Mar 26, 2010
Last updated in NPPES Jan 8, 2026
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 002235 (GA) Primary
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Ricky Tatum practice?
The practice location on file with NPPES is in Waycross, GA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Ricky Tatum?
The National Provider Identifier (NPI) for Ricky Tatum is 1073837555, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-08.