Stefanie Smith Tate

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN183587 Issued in GA

Practice address

3964 Elnora Dr
Macon, GA 31210-1825

Phone

(478) 309-1499

Fax

(477) 309-1577

NPI assigned

Feb 5, 2015

Sex

Female

Sole proprietor

Yes

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: stefanie.tate@pppc.eclinicaldirectplus.com

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.

• Middle Georgia Medical Associates, P.C.

  • Pulmonary Disease Physician
  • Warner Robins, GA
  • NPI 1992751911
  NPD (past)
• Primary Pediatrics, PC

  • Specialist
  • Macon, GA
  • NPI 1477638575
  NPD (past)

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1245621705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3964 ELNORA DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101825",
            "telephone_number": "478-309-1499",
            "fax_number": "478-309-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3964 ELNORA DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101825",
            "telephone_number": "478-309-1499",
            "fax_number": "477-309-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "STEFANIE",
        "middle_name": "SMITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-05",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN183587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald T. Tarirah, M.D
• Patricia Tarver, NP
• Robin Tarver, LMFT, MAC
• Richard C Tarvers, MD
• Candice Tate, NP-C
• Tattnall Hospital Company LLC
• Anna Taylor
• Cheyenne Taylor
• Dwayne Taylor, NP
• James Taylor, RBT

• Pediatric Nurse Practitioner in Macon, GA
• Providers in Macon, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.