Active NPI
Thomas Chadwick Tate, PA
- Physician Assistant
- Huntersville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-05384
- Practice address
- 12905 Rosedale Hill Ave
Huntersville, NC 28078-3487 - Phone
- (704) 801-1000
- NPI assigned
- Feb 25, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-05384 | NC | Primary |
Addresses
Primary practice location
12905 Rosedale Hill Ave
Huntersville, NC 28078-3487
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
7810 Providence Rd
Ste 102
Charlotte, NC 28226-2954
Phone (704) 543-6636
Other practice location 2
5727 Prosperity Crossing Dr
Ste 1100
Charlotte, NC 28269-2206
Phone (704) 863-9930
Other practice location 3
10210 Couloak Dr
Ste E
Charlotte, NC 28216-7679
Phone (704) 801-2000
Other practice location 4
5717 Albemarle Rd
Charlotte, NC 28212-1634
Phone (704) 563-2150
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
| Direct Messaging Address | ttate500023@CarolinasHealthcareSystem.direct-ci.com | Atrium Health |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000
1000 Blythe Blvd
Charlotte, NC 28203-5871
1001 Blythe Blvd
Suite 200D
Charlotte, NC 28203-6215
Phone (704) 373-1813
1001 Blythe Blvd
Suite 500
Charlotte, NC 28203-5863
Phone (704) 373-1813
1025 Morehead Medical Dr
Suite 600
Charlotte, NC 28204-2969
Phone (704) 355-6649
1100 Blythe Blvd
Charlotte, NC 28203-5814
Phone (704) 355-4475
11304 Hawthorne Dr
Suite 100
Mint Hill, NC 28227-9437
Phone (704) 545-6400
11530 Providence Rd
Charlotte, NC 28277-2691
Phone (704) 373-1813
1225 Harding PL
Suite 1100
Charlotte, NC 28204-2826
Phone (704) 975-8408
1237 Harding PL
Charlotte, NC 28204-2826
15110 John J Delaney Dr
Suite 200
Charlotte, NC 28277-3545
Phone (704) 377-9323
1550 Faulk St
Suite 3100
Monroe, NC 28112-5197
Phone (704) 667-3410
1908 Hilco St
Suite a
Albemarle, NC 28001-6388
Phone (704) 982-8686
301 Yadkin St
Albemarle, NC 28001-3441
Phone (704) 984-4000
307 Yadkin St
Albemarle, NC 28001-3441
Phone (980) 323-6180
5801 Executive Ctr Dr
Suite 100
Charlotte, NC 28212-8870
Phone (704) 863-1550
600 Hospital Dr
Monroe, NC 28112-6000
Phone (704) 283-3100
8840 Blakeney Professional Dr
Charlotte, NC 28277-6718
Phone (704) 667-5900
8930 Blakeney Professional Dr
Charlotte, NC 28277-6660
Phone (704) 667-3500
Hospital & facility affiliations
- Carolinas Medical Center/Behav Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-05384 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070
10210 Couloak Dr
Ste E
Charlotte, NC 28216
Phone (704) 801-2000
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
5717 Albemarle Rd
Charlotte, NC 28212
Phone (704) 563-2150
7810 Providence Rd
Ste 102
Charlotte, NC 28226
Phone (704) 393-4808
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
9332 S Tryon St
Charlotte, NC 28273
Phone (704) 587-6700
5727 Prosperity Crossing Dr
Ste 1100
Charlotte, NC 28269
Phone (704) 863-9930
4525 Cameron Valley Pkwy
Ste 3100
Charlotte, NC 28211
Phone (704) 302-8375
200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740
705 Griffith St
Ste 100
Davidson, NC 28036
Phone (704) 801-7900
12905 Rosedale Hill Ave
Huntersville, NC 28078
Phone (704) 801-1000
Interoperability endpoints
- ttate500023@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 9
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1457380313
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
-
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
NC
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Charlotte, NC
- NPI 1396886099
-
- Clinical Social Worker
- Charlotte, NC
- NPI 1417267428
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Plastic Surgery Physician
- Concord, NC
- NPI 1083041404
-
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1295150449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12905 ROSEDALE HILL AVE",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280783487",
"telephone_number": "704-801-1000"
}
],
"practiceLocations": [
{
"address_1": "7810 Providence Rd",
"address_2": "Ste 102",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282262954",
"country_code": "US",
"telephone_number": "704-543-6636",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5727 Prosperity Crossing Dr",
"address_2": "Ste 1100",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282692206",
"country_code": "US",
"telephone_number": "704-863-9930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10210 Couloak Dr",
"address_2": "Ste E",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282167679",
"country_code": "US",
"telephone_number": "704-801-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5717 Albemarle Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282121634",
"country_code": "US",
"telephone_number": "704-563-2150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TATE",
"first_name": "THOMAS",
"middle_name": "CHADWICK",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-25",
"last_updated": "2024-07-15",
"certification_date": "2022-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-05384",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ttate500023@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "12905 Rosedale Hill Ave",
"city": "Huntersville",
"state": "NC",
"country_code": "US",
"postal_code": "280783487",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.