Active NPI
George Whaley Tate, M.D.
- Ophthalmology Physician
- Charlotte, NC
National Provider Identifier
1912008384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 22184
- Practice address
- 6300 E Independence Blvd
Charlotte, NC 28212-6944 - Phone
- (704) 535-0925
- Fax
- (704) 537-0204
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 22184 | NC | Primary |
| Ophthalmology Physician | 207W00000X | 13326 | SC |
Addresses
Primary practice location
6300 E Independence Blvd
Charlotte, NC 28212-6944
Mailing address
6300 E Independence Blvd
Charlotte, NC 28212-6944
Phone (704) 535-0925
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89131JP | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13326 | SC | MD | Clinical Social Worker |
| 22184 | NC | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of North Carolina | Ophthalmology | Past | Accepting new patients |
| Oliver Eye Associates PA | Past | Accepting new patients | |
| Oliver Eye Associates PA | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Optometrist
- York, SC
- NPI 1245329853
-
- Optometrist
- Rock Hill, SC
- NPI 1528168937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912008384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 E INDEPENDENCE BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282126944",
"telephone_number": "704-535-0925",
"fax_number": "704-537-0204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 E INDEPENDENCE BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282126944",
"telephone_number": "704-535-0925",
"fax_number": "704-537-0204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATE",
"first_name": "GEORGE",
"middle_name": "WHALEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NC",
"license": "22184",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "SC",
"license": "13326",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89131JP",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.