Julie Suttles Tate, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MSW007868 Issued in GA

Practice address

431 Green St NW
Gainesville, GA 30501-3349

Phone

(470) 460-5582

Fax

(877) 684-1686

NPI assigned

Apr 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1235718842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 ENFIELD DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305064663",
            "telephone_number": "404-771-0178",
            "fax_number": "770-219-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 GREEN ST NW",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013349",
            "telephone_number": "470-460-5582",
            "fax_number": "877-684-1686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "743 Spring St NE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013899",
            "country_code": "US",
            "telephone_number": "770-219-5766",
            "fax_number": "770-219-2664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATE",
        "first_name": "JULIE",
        "middle_name": "SUTTLES",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW007868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Jean Tanner, CNM
• Leigh Ellen Tanner, M.ED.
• Melody Trippe Tanner, NP-C
• Rafael Tapia Jr., MD
• Daniel Charles Tarquinio, D.O.
• Jeffrey A. Tatro, MD
• Cheryl Denise Tatum
• Mercedes R Tatum, PA
• Alexis Taylor, ND
• Charlsie Thomas Taylor, PA-C

• Social Worker in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.