Individual provider Active NPI

Tiffany Tate

  • Psychiatry Physician
  • Charlotte, NC
National Provider Identifier
1144248188
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2005-00903 Issued in NC
Practice address
501 Billingsley Rd
Suite B
Charlotte, NC 28211-1009
Phone
(704) 444-2400
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2005-00903 NC Primary

Addresses

Primary practice location

501 Billingsley Rd
Suite B
Charlotte, NC 28211-1009

Mailing address

501 Billingsley Rd
Charlotte, NC 28211-1009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050719000960 NC Practitioner - Psychiatry 3971594425 Reassigns benefits to 2 organizations
I20130925000736 GA Practitioner - Psychiatry 3971594425 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Cincinnati College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Medical CenterGroup PAC ID 4789597477, 1,057 clinicians

Practice addresses (Care Compare)

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000

501 Billingsley Rd
Charlotte, NC 28211-1009
Phone (704) 444-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Healthcare Investments CurrentSince Jan 10, 2015 Accepting new patients
Highland Rivers Community Service Board Current Accepting new patients
United Psychology Center, LLC Psychiatry CurrentSince Jan 26, 2015 Accepting new patients
Premier Healthcare Investments CurrentSince Jan 10, 2015 Accepting new patients
New Horizons Area MH Mr Sa Program CurrentSince Jun 1, 2015 Accepting new patients
Highland Rivers CSB CurrentSince Sep 1, 2014 Accepting new patients
Highland Rivers CSB CurrentSince Sep 1, 2014 Accepting new patients
Carolinas Medical Center CurrentSince Sep 19, 2014 Accepting new patients
Carolinas Medical Center CurrentSince Sep 19, 2014 Accepting new patients
Primary Medicine Center LLC Psychiatry Past Accepting new patients
The Harris Center for Mental Health and Idd PastSince Jul 8, 2012 Accepting new patients

Locations

191 Lamar Haley Pkwy
Canton, GA 30114
Phone (770) 704-1600

2900 Chamblee Tucker Rd
Bldg 16
Chamblee, GA 30341
Phone (770) 939-1288

2100 Comer Ave
Columbus, GA 31904
Phone (706) 323-0174

1401 Applewood Dr
Ste 1
Dalton, GA 30720
Phone (706) 270-5003

1503 N Tibbs Rd
Dalton, GA 30720
Phone (706) 229-4507

509 Sumter St
Montezuma, GA 31063
Phone (478) 472-2321

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

501 Billingsley Rd
Ste B
Charlotte, NC 28211
Phone (704) 444-2400

501 Billingsley Rd
Charlotte, NC 28211
Phone (704) 358-2700

920 Church St N
Concord, NC 28025
Phone (704) 403-3000

Interoperability endpoints

  • Direct secure messaging: ttate500095@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1144248188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BILLINGSLEY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BILLINGSLEY RD",
            "address_2": "SUITE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111009",
            "telephone_number": "704-444-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2005-00903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.