Dillon Michael Tate, NURSE PRACTITIONER

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3-001403 Issued in AL

Practice address

2930 Al-237
Phil Campbell, AL 35581

Phone

(205) 993-5642

Fax

(205) 993-5926

NPI assigned

Apr 10, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, MS2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revive Medical Center LLCGroup PAC ID 3678947793, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Keller Home Care Home health agency, Red Bay, AL, CCN 017125
• Lakeland Community Hospital Hospital, Haleyville, AL, CCN 011311
• Lakeland Community Hospital Hospital, Haleyville, AL, CCN 010125
• Russellville Hospital Hospital, Russellville, AL, CCN 010158

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dillon.tate.1@29882.direct.athenahealth.com

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.

• Revive Medical Center LLC

  • Family Medicine Physician
  • Haleyville, AL
  • NPI 1740996636
  Medicare reassignment Care Compare group NPD
• Internal Medicine and Pediatric Clinic of New Albany, PLLC

  • Internal Medicine Physician
  • New Albany, MS
  • NPI 1811073356
  Medicare reassignment NPD
• Internal Medicine and Pediatric Clinic of New Albany, PLLC

  • Internal Medicine Physician
  • Saltillo, MS
  • NPI 1871207456
  NPD
• Morrow Clinics Inc

  • Family Medicine Physician
  • Phil Campbell, AL
  • NPI 1124138763
  NPD (past)
• Morrow Clinics Inc

  • Clinic/Center
  • Hackleburg, AL
  • NPI 1992816185
  NPD (past)
• NWMC-Winfield Physician Practices, LLC

  • Family Medicine Physician
  • Guin, AL
  • NPI 1962584136
  NPD (past)

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

• Lakeland Community Hospital, Inc.

  • Critical Access Hospital
  • Haleyville, AL
  • NPI 1275600967
  Care Compare affiliation
• LHCG Xxix LLC

  • Home Health Agency
  • Red Bay, AL
  • NPI 1366740656
  Care Compare affiliation
• Russellville Hospital Inc.

  • Rural Acute Care Hospital
  • Russellville, AL
  • NPI 1316015241
  Care Compare affiliation

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1730874249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 AL -237",
            "city": "PHIL CAMPBELL",
            "state": "AL",
            "postal_code": "35581",
            "telephone_number": "205-993-5642",
            "fax_number": "205-993-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 AL-237",
            "city": "PHIL CAMPBELL",
            "state": "AL",
            "postal_code": "35581",
            "telephone_number": "205-993-5642",
            "fax_number": "205-993-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "DILLON",
        "middle_name": "MICHAEL",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-10",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "3-001403",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "906197",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morrow Clinics Inc
• Northwest EMS Inc.
• Amy Michelle Null
• Phil Campbell Drugs, LLC
• Sutton Counseling Service LLC
• Valley Healthcare
• Dorci White
• Ashton Wimberley
• Karen L Woodard, DMD

• Family Medicine Physician in Phil Campbell, AL
• Providers in Phil Campbell, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.