NPIMap

Individual provider Active NPI

Kelly S Tate, MD

  • Family Medicine Physician
  • Elkton, KY
National Provider Identifier
1700839040
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27148 Issued in KY
Practice address
118 S Main St
Elkton, KY 42220-8863
Phone
(270) 265-5023
Fax
(270) 265-5026
NPI assigned
May 18, 2006
Last updated
Jun 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27148 KY Primary

Addresses

Primary practice location

118 S Main St
Elkton, KY 42220-8863

Mailing address

118 S Main St
Elkton, KY 42220-8863
Phone (270) 265-5023

Other identifiers 1

IdentifierTypeStateIssuer
64271489MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040105000025 KY Practitioner - Family Practice 4981503463 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kentucky College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

118 S Main St
Elkton, KY 42220-8863
Phone (270) 265-5023

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Logan Physician Practice LLC Family Medicine CurrentSince Apr 1, 2021 Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince Feb 24, 2025 Accepting new patients
Bowling Green-Warren County Community Hospital Corporation CurrentSince Nov 1, 2025 Accepting new patients
Logan Physician Practice, LLC Current Accepting new patients
Pennyrile Family Physicians CurrentSince Jan 1, 2007 Accepting new patients
Commonwealth Health Corporation, Inc. Family Medicine CurrentSince Feb 24, 2025 Accepting new patients
Bowling Green-Warren County Community Hospital Corporation Family Medicine Current Accepting new patients
Patrick K Hayden Logan Family Practice Family Medicine Current Accepting new patients
Commonwealth Health Corporation, Inc Current Accepting new patients
Logan Physician Practice LLC CurrentSince Apr 1, 2021 Accepting new patients
Bowling Green-Warren County Community Hospital Corporation CurrentSince Nov 1, 2025 Accepting new patients
Commonwealth Health Corporation Family Medicine Past Accepting new patients
Don L Perkins, MD, Inc Family Medicine PastSince May 1, 2010 Accepting new patients

Locations

128 Sugar Maple Dr
Auburn, KY 42206
Phone (270) 344-5157

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

1724 Kenton St
Ste 2A
Hopkinsville, KY 42240
Phone (270) 885-2091

1719 Nashville St
Ste C
Russellville, KY 42276
Phone (270) 726-7664

975 Hopkinsville Rd
Russellville, KY 42276
Phone (270) 725-8350

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1700839040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S MAIN ST",
            "city": "ELKTON",
            "state": "KY",
            "postal_code": "422208863",
            "telephone_number": "270-265-5023",
            "fax_number": "270-265-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S MAIN ST",
            "city": "ELKTON",
            "state": "KY",
            "postal_code": "422208863",
            "telephone_number": "270-265-5023",
            "fax_number": "270-265-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "KELLY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-06-14",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "27148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64271489",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, KY

Sources for this page

Verify at the official NPI Registry.