Individual provider Active NPI

Lorrie Tate, CRNP

  • Acute Care Nurse Practitioner
  • Sevierville, TN
National Provider Identifier
1073890422
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
19942 Issued in TN
Practice address
744 Middle Creek Rd Ste 114
Sevierville, TN 37862
Phone
(865) 446-9575
NPI assigned
Nov 14, 2011
Last updated
Jun 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN102375 GA
Acute Care Nurse Practitioner 363LA2100X 19942 TN Primary

Addresses

Primary practice location

744 Middle Creek Rd Ste 114
Sevierville, TN 37862

Mailing address

744 Middle Creek Rd Ste 114
Sevierville, TN 37862-5036
Phone (865) 446-9575

Other practice location 1

677 Church St NE # 111
Marietta, GA 30060-1101
Phone (770) 793-7550

Other identifiers 1

IdentifierTypeStateIssuer
Q014506MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Tate.Lorrie@covenanthealth.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120120000875 GA Practitioner - Nurse Practitioner 5395912026 Reassigns benefits to 1 organization
I20150919000085 TN Practitioner - Nurse Practitioner 5395912026 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

Practice addresses (Care Compare)

744 Middle Creek Rd
Suite 114
Sevierville, TN 37862-5036
Phone (865) 446-9575

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN102375GAMDAcute Care Nurse Practitioner
19942TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Jan 1, 2012 Accepting new patients
Covenant Medical Group, Inc. CurrentSince Oct 29, 2018 Accepting new patients
Hospital Medicine Services of Tennessee PC CurrentSince Jan 1, 2016 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jan 1, 2012 Accepting new patients
Covenant Medical Group, Inc CurrentSince Oct 29, 2018 Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

677 Church St NE
#111
Marietta, GA 30060
Phone (770) 793-7750

Dept 888179
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

744 Middle Creek Rd
Ste 114
Sevierville, TN 37862
Phone (865) 446-9575

Interoperability endpoints

  • Direct secure messaging: tate.lorrie@covenanthealth.cernerdirect.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1073890422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 MIDDLE CREEK RD STE 114",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625036",
            "telephone_number": "865-446-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 MIDDLE CREEK RD STE 114",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "37862",
            "telephone_number": "865-446-9575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "677 Church St NE # 111",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300601101",
            "country_code": "US",
            "telephone_number": "770-793-7550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATE",
        "first_name": "LORRIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-14",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN102375",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "19942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q014506",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tate.Lorrie@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "744 Middle Creek Rd Ste 114",
            "city": "Sevierville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

Verify at the official NPI Registry.