Active NPI
David L Tate, M.D.
- Family Medicine Physician
- Dublin, GA
National Provider Identifier
1093708802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 48729
- Practice address
- 908 Hillcrest Pkwy
Dublin, GA 31021-4206 - Phone
- (478) 272-7411
- Fax
- (478) 274-9809
- NPI assigned
- Aug 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 48729 | GA | Primary |
Addresses
Primary practice location
908 Hillcrest Pkwy
Dublin, GA 31021-4206
Mailing address
908 Hillcrest Pkwy
Dublin, GA 31021-4206
Phone (478) 272-7411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000879645C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100308000007 | GA | Practitioner - Family Practice | 0143365700 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical College of Georgia School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Center LLP
Practice addresses (Care Compare)
908 Hillcrest Pkwy
Dublin, GA 31021-4206
Phone 4782727411203
Hospital & facility affiliations
- Amedisys Home Health
- Georgia Hospice Care
- Georgia Hospice Care
- Fairview Park Hospital
- Bleckley Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Center, LLP | Current | Accepting new patients | |
| Family Medical Associates of Lake Oconee PC | Family Medicine | Past | Accepting new patients |
Locations
908 Hillcrest Pkwy
Dublin, GA 31021
Phone (478) 272-7411
Interoperability endpoints
- david.tate@dublinmc.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Greensboro, GA
- NPI 1790861581
Family Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Vidalia, GA
- NPI 1366627986
-
- Community Based Hospice Care Agency
- Warner Robins, GA
- NPI 1982882114
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1093708802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 HILLCREST PKWY",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310214206",
"telephone_number": "478-272-7411",
"fax_number": "478-274-9809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 HILLCREST PKWY",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310214206",
"telephone_number": "478-272-7411",
"fax_number": "478-274-9809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATE",
"first_name": "DAVID",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "48729",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000879645C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.