Dr Alexis Forte'-tatum, is a
Technician, Pathology - Phlebotomy based in Powder Springs, Georgia. Dr Alexis Forte'-tatum is licensed to practice in Georgia (license number LPN080083) and her current practice location is
3056 New Macland Rd, Powder Springs, Georgia. She can be reached at her office (for appointments etc.) via phone at
(678) 340-6010.
NPI number for Dr Alexis Forte'-tatum is 1356260780 and her current mailing address is 3056 New Macland Rd, Powder Springs, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356260780.
Provider's Profile
| Full Name | Dr Alexis Forte'-tatum |
|---|
| Gender | Female |
|---|
| Speciality | Technician, Pathology - Phlebotomy |
|---|
| Location | 3056 New Macland Rd, Powder Springs, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1356260780
- Provider Enumeration Date: 07/10/2026
- Last Update Date: 07/10/2026
Medical Identifiers
Medical identifiers for Dr Alexis Forte'-tatum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356260780 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WG0600X | Registered Nurse - Gerontology | RN169974 (Georgia) | Secondary |
| 163WS0200X | Registered Nurse - School | RN169974 (Georgia) | Secondary |
| 164W00000X | Licensed Practical Nurse | LPN080083 (Georgia) | Secondary |
| 174H00000X | Health Educator | RN169974 (Georgia) | Secondary |
| 253Z00000X | In Home Supportive Care | RN169974 (Georgia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | LPN080083 (Georgia) | Secondary |
| 246RP1900X | Technician, Pathology - Phlebotomy | LPN080083 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Alexis Forte'-tatum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Alexis Forte'-tatum,
3056 New Macland Rd,
Powder Springs, GA 30127-1737
Ph: (678) 340-6010 | Dr Alexis Forte'-tatum,
3056 New Macland Rd,
Powder Springs, GA 30127-1737
Ph: (678) 340-6010 |
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