Individual provider Active NPI

Allen Ervin Tate, PA

  • Physician Assistant
  • Mount Juliet, TN
National Provider Identifier
1144479098
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1129 Issued in TN
Practice address
2685 N Mount Juliet Rd
Mount Juliet, TN 37122-3040
Phone
(615) 326-6096
NPI assigned
Sep 16, 2008
Last updated
May 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1129 TN Primary

Addresses

Primary practice location

2685 N Mount Juliet Rd
Mount Juliet, TN 37122-3040

Mailing address

2685 N Mount Juliet Rd
Mount Juliet, TN 37122-3040
Phone (615) 326-6096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090506000248 TN Practitioner - Physician Assistant 5991853707 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1129TNMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Alliance PA CurrentSince Jan 24, 2024 Accepting new patients
Center for Spine Joint and Neuromuscular Rehab PC CurrentSince Apr 25, 2018 Accepting new patients
Center for Spine, Joint & Neuromuscular Rehabilitation CurrentSince Apr 25, 2018 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Jan 24, 2024 Accepting new patients
Middle Tennessee Surgical Associates, PLLC PastSince Jun 1, 2011 Accepting new patients
Tennessee Orthopaedic Alliance PA Past Accepting new patients
Banyan Healthcare & Wellness Center, LLC Past Accepting new patients

Locations

5651 Frist Blvd
Ste 712
Hermitage, TN 37076
Phone (615) 491-6216

5003 Crossings Cir
Ste 200
Mt Juliet, TN 37122

1800 Medical Center Pkwy
Ste 200
Murfreesboro, TN 37129
Phone (615) 278-1634

5109 Veterans Pkwy
Murfreesboro, TN 37128
Phone (615) 278-1614

520 Highland Ter
Ste D
Murfreesboro, TN 37130
Phone (615) 802-5900

8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHJBDD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1144479098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 N MOUNT JULIET RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223040",
            "telephone_number": "615-326-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 N MOUNT JULIET RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223040",
            "telephone_number": "615-326-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "ALLEN",
        "middle_name": "ERVIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-16",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

Verify at the official NPI Registry.