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NPISignal

Individual Healthcare Provider

Alexis Forte'-Tatum

NPI Record: ActiveTechnician, Pathology — Phlebotomy
NPI1356260780
Powder Springs, Georgia

Provider's NPPES record last updated: July 10, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1356260780
Primary Specialty
Technician, Pathology — Phlebotomy
Practice Location
Powder Springs, Georgia
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 2:33 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Technician, Pathology

    Phlebotomy

    Technologists, Technicians & Other Technical Service Providers

    Primary

    Definition to come...

    Taxonomy code 246RP1900X
  • Registered Nurse

    Gerontology

    Nursing Service Providers

    Definition to come...

    Taxonomy code 163WG0600X
  • Registered Nurse

    School

    Nursing Service Providers

    Definition to come...

    Taxonomy code 163WS0200X
  • Licensed Practical Nurse

    Nursing Service Providers

    An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

    Taxonomy code 164W00000X
  • Health Educator

    Other Service Providers

    Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.

    Taxonomy code 174H00000X
  • In Home Supportive Care

    Agencies

    An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

    Taxonomy code 253Z00000X
  • Student in an Organized Health Care Education/Training Program

    Student, Health Care

    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

    Taxonomy code 390200000X

Provider-Reported License Information

Technician, Pathology (Georgia)
LPN080083
Registered Nurse (Georgia)
RN169974
Registered Nurse (Georgia)
RN169974
Licensed Practical Nurse (Georgia)
LPN080083
Health Educator (Georgia)
RN169974
In Home Supportive Care (Georgia)
RN169974
Student in an Organized Health Care Education/Training Program (Georgia)
LPN080083
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

3056 New Macland Rd

Powder Springs, Georgia 30127-1737

Phone: (678) 340-6010

Record Information

Enumeration Date
July 10, 2026
Provider's NPPES Record Last Updated
July 10, 2026
Certification Date
July 10, 2026
NPISignal NPPES Dataset
August 2026

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