Tate Primary Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TATE PRIMARY CARE LLC

Doing business as

Port Barre Family Clinic

Practice address

17695 Highway 190
Port Barre, LA 70577-5178

Phone

(337) 308-0802

Fax

(337) 585-7899

NPI assigned

Oct 5, 2018

Organization subpart

No

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

Authorized official

Name

Eliza Tate, MDNPI 1184010605

Title

Owner

Phone

(337) 585-7989

Specialties & licenses 1

Addresses

Other names 1

• Port Barre Family Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eliza Tate, MD

  • Family Medicine Physician
  • Port Barre, LA
  • NPI 1184010605
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1326513383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17695 HIGHWAY 190",
            "city": "PORT BARRE",
            "state": "LA",
            "postal_code": "705775178",
            "telephone_number": "337-308-0802",
            "fax_number": "337-585-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17695 HIGHWAY 190",
            "city": "PORT BARRE",
            "state": "LA",
            "postal_code": "705775178",
            "telephone_number": "337-308-0802",
            "fax_number": "337-585-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATE PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "ELIZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-585-7989",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Port Barre Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Port Barre Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Moreau Physical Therapy Inc.
• Port Associates Medical Center Inc
• Port Barre Pharmacy LLC
• Quality Care Providers of Louisiana, L.L.C.
• Quality Care Providers of Louisiana, L.L.C.
• Eliza Tate, MD
• Thrifty Way of Louisiana
• Lisa B Whipp
• Windfall Real Estate Corp

• Family Medicine Physician in Port Barre, LA
• Providers in Port Barre, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.