Individual provider Active NPI

Pate Howell, APRN

  • Nurse Practitioner
  • Vidalia, GA
National Provider Identifier
1164873121
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN227260 Issued in GA
Practice address
101 Harris Industrial Blvd Ste a
Vidalia, GA 30474-8852
Phone
(912) 535-3500
Fax
(912) 535-4498
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN227260 GA
Nurse Practitioner 363L00000X RN227260 GA Primary

Addresses

Primary practice location

101 Harris Industrial Blvd Ste a
Vidalia, GA 30474-8852

Mailing address

1900 Tebeau St
Waycross, GA 31501-6357
Phone (912) 284-2460

Other practice location 1

1900 Tebeau St
Waycross, GA 31501-6357
Phone (912) 284-2460

Other practice location 2

11 Cross St
Hazlehurst, GA 31539-6427
Phone (912) 535-3500

Other practice location 3

195 E Tollison St Ste A-B
Baxley, GA 31513-0172
Phone (912) 535-3500

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170421000849 GA Practitioner - Nurse Practitioner 3274819545

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Meadows Pkwy
Vidalia, GA 30474-8759

756 Julie Dr
Vidalia, GA 30474-5525

Hospital & facility affiliations

  • Memorial Health Meadows Hospital Hospital, Vidalia, GA, CCN 110128

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN227260GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Associates of Eastern Georgia CurrentSince Apr 1, 2025 Accepting new patients
Vidalia Immediate & Primary Care LLC CurrentSince Aug 1, 2021 Accepting new patients
Southeast Regional Primary Care Corporation Current Accepting new patients

Locations

195 E Tollison St
Ste Ab
Baxley, GA 31513
Phone (912) 533-3500

1497 Fair Rd
Ste 305
Statesboro, GA 30458
Phone (912) 871-1360

122 Alice Coleman Dr
Vidalia, GA 30474
Phone (912) 805-2273

Interoperability endpoints

  • Direct secure messaging: pate.chester@srpcc.gadirect.net
  • Direct secure messaging: pate.chester@hca5.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GICFDD

Organizations & group practices 3

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.

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": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1164873121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 TEBEAU ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016357",
            "telephone_number": "912-284-2460",
            "fax_number": "912-284-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HARRIS INDUSTRIAL BLVD STE A",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748852",
            "telephone_number": "912-535-3500",
            "fax_number": "912-535-4498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Tebeau St",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315016357",
            "country_code": "US",
            "telephone_number": "912-284-2460",
            "fax_number": "912-284-2389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Cross St",
            "address_purpose": "LOCATION",
            "city": "Hazlehurst",
            "state": "GA",
            "postal_code": "315396427",
            "country_code": "US",
            "telephone_number": "912-535-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "195 E Tollison St Ste A-B",
            "address_purpose": "LOCATION",
            "city": "Baxley",
            "state": "GA",
            "postal_code": "315130172",
            "country_code": "US",
            "telephone_number": "912-535-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "PATE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN227260",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN227260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidalia, GA

Sources for this page

Verify at the official NPI Registry.