Jordan Lee Tate, M.D., MPH

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

72139 Issued in GA

Practice address

1101 Old Philadelphia Rd Ste G
Jasper, GA 30143-4069

Phone

(678) 971-4167

Fax

(833) 989-2501

NPI assigned

Mar 30, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Jordan Lee Murphy Former name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Emory University School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southern Pain and Spine Associates, LLC 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Northwest Home Health Home health agency, Jasper, GA, CCN 117064
• Piedmont Mountainside Hospital Inc Hospital, Jasper, GA, CCN 110225
• Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
• Adventhealth Murray Hospital, Chatsworth, GA, CCN 110050
• Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
• Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005

Merit-based Incentive Payment System (MIPS)

Final score

89.65 of 100Reported as individual

Quality

82.27

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 31)

Interoperability endpoints

• Direct secure messaging: jordan.tate.1@22722.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/22722/brand/1/csg/1/fhir/r4

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.

• Southern Pain and Spine Associates LLC

  • Interventional Pain Medicine Physician
  • Gainesville, GA
  • NPI 1336744770

  GA, Interventional Pain Medicine

  Medicare reassignment Care Compare group NPD
• Alliance Surgery Center at Woodstock, LLC

  • Ambulatory Surgical Clinic/Center
  • Woodstock, GA
  • NPI 1215410592

  GA

  Medicare reassignment NPD
• Athens Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Athens, GA
  • NPI 1467140327

  GA

  Medicare reassignment NPD
• Jasper Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Jasper, GA
  • NPI 1730842311

  GA

  Medicare reassignment NPD
• Newnan Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Newnan, GA
  • NPI 1740953447

  GA

  Medicare reassignment NPD
• Northeast Georgia Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Gainesville, GA
  • NPI 1265037600

  GA

  Medicare reassignment NPD
• Southeastern Interventional Pain ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
  • NPI 1588994685

  GA

  Medicare reassignment NPD
• The Interventional Spine and Pain Management Center, PC

  • Interventional Pain Medicine Physician
  • Conyers, GA
  • NPI 1518012004

  GA, Interventional Pain Medicine

  Medicare reassignment NPD
• Southern Pain and Spine Associates, LLC

  • Durable Medical Equipment & Medical Supplies
  • Atlanta, GA
  • NPI 1548059835

  Pain Medicine

  Care Compare group NPD
• CPM Labs, LLC

  • Clinical Medical Laboratory
  • Roswell, GA
  • NPI 1689945800
  NPD
• Nextpain Medical Ga LLC

  • Interventional Pain Medicine Physician
  • Lawrenceville, GA
  • NPI 1679307383

  Pain Medicine

  NPD
• Nextpain Medical PA

  • Pain Medicine Physician
  • Lawrenceville, GA
  • NPI 1295564334

  Pain Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health System Georgia, Inc.

  • General Acute Care Hospital
  • Chatsworth, GA
  • NPI 1750776571

  Hospital

  Care Compare affiliation
• Amedisys Northwest, L.L.C.

  • Home Health Agency
  • Jasper, GA
  • NPI 1588612188
  Care Compare affiliation
• Kennestone Hospital, Inc.

  • General Acute Care Hospital
  • Marietta, GA
  • NPI 1649248626

  Hospital

  Care Compare affiliation
• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Canton, GA
  • NPI 1225050396

  Hospital

  Care Compare affiliation
• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Cumming, GA
  • NPI 1376574277

  Hospital

  Care Compare affiliation
• Piedmont Mountainside Hospital, Inc.

  • General Acute Care Hospital
  • Jasper, GA
  • NPI 1780643411

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1508008079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28415",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152036",
            "telephone_number": "888-488-8289",
            "fax_number": "502-919-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 OLD PHILADELPHIA RD STE G",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301434069",
            "telephone_number": "678-971-4167",
            "fax_number": "833-989-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "JORDAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D., MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "STUDENT",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "GA",
            "license": "003916",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME115895",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "72139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003150702",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "MURPHY",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Jasper, GA
• Interventional Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.

Verify at the official NPI Registry.