Jeffery D Tate, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

555 W 6TH St
Mountain Home, AR 72653-3409

Phone

(870) 425-8288

Fax

(870) 425-8299

NPI assigned

Jul 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• South Arkansas Emergency Physicians LLP

  • Emergency Medicine Physician
  • El Dorado, AR
  • NPI 1942435458
  Medicare reassignment
• South Arkansas Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Springdale, AR
  • NPI 1184045056
  NPD
• South Arkansas Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Siloam Springs, AR
  • NPI 1225452055

  Physician Assistant

  NPD
• Dr B. E. Holmes PA

  • Family Medicine Physician
  • Lonoke, AR
  • NPI 1336353457
  NPD (past)
• Sherwood Urgent Care

  • Family Medicine Physician
  • Searcy, AR
  • NPI 1649201286
  NPD (past)
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1356549901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 HIGHWAY 62 E",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533260",
            "telephone_number": "870-594-8387",
            "fax_number": "870-701-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W 6TH ST",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533409",
            "telephone_number": "870-425-8288",
            "fax_number": "870-425-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "JEFFERY",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL BOARD - P.A. LICENSE",
            "identifier": "PA-354",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Sutton, LPC-S, LPE-I
• Daniel A Swoyer, M.D.
• Sycamore Springs Senior Living, LLC
• Georgia Gail Sykes, M.A./CCC-SLP
• Eyvette Tardiff, MHPP
• Taylor & Associates (Taylor Hearing Centers)
• Taylor Chiropractic PLC
• Matthew A Taylor, AUD
• Shannon M Taylor, MS,CCC-SLP
• Telecare Express of Arkansas

• Physician Assistant in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.