Individual provider Active NPI

Danielle Latrice Tate, M.D.

  • Maternal & Fetal Medicine Physician
  • Memphis, TN
National Provider Identifier
1942475728
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
50274 Issued in TN
Practice address
6215 Humphreys Blvd Ste 400
Memphis, TN 38120-2382
Phone
(901) 227-9580
Fax
(901) 227-9527
NPI assigned
Apr 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25456 MS
Obstetrics & Gynecology Physician 207V00000X 50274 TN
Maternal & Fetal Medicine Physician 207VM0101X 25456 MS
Maternal & Fetal Medicine Physician 207VM0101X 50274 TN Primary

Addresses

Primary practice location

6215 Humphreys Blvd Ste 400
Memphis, TN 38120-2382

Mailing address

200 Wagner PL Apt 208
Memphis, TN 38103-3628
Phone (225) 892-4534

Other practice location 1

401 Southcrest Cir Ste 203
Southaven, MS 38671-6719
Phone (901) 227-9580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130926000511 TN Practitioner - Obstetrics/Gynecology 9436393782 Reassigns benefits to 2 organizations
I20221020000264 MS Practitioner - Obstetrics/Gynecology 9436393782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Howard University College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

255 Baptist Blvd
Columbus, MS 39705-2006

36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801

401 Southcrest Cir
Southaven, MS 38671-6719

6225 Humphreys Blvd
Memphis, TN 38120-2373
Phone (901) 227-9000

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25456MSMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Regional One Physicians Inc CurrentSince Sep 1, 2014 Accepting new patients
Baptist Memorial Medical Group Inc Obstetrics & Gynecology CurrentSince Nov 1, 2022 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Nov 1, 2022 Accepting new patients
Ut Regional One Physicians Inc Obstetrics & Gynecology CurrentSince Sep 1, 2014 Accepting new patients
Baptist Memorial Health Services, Inc. of Mississippi Past Accepting new patients

Locations

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

401 Southcrest Cir
Ste 104
Southaven, MS 38671
Phone (662) 349-1112

401 Southcrest Cir
Ste 203
Southaven, MS 38671
Phone (662) 775-4025

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

8138 Country Village Dr
Cordova, TN 38016
Phone (901) 725-8606

6215 Humphreys Blvd
Ste 400
Memphis, TN 38120
Phone (901) 227-9580

6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281

Interoperability endpoints

  • Direct secure messaging: dtate25473@mlh.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1942475728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WAGNER PL APT 208",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033628",
            "telephone_number": "225-892-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 HUMPHREYS BLVD STE 400",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202382",
            "telephone_number": "901-227-9580",
            "fax_number": "901-227-9527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Southcrest Cir Ste 203",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386716719",
            "country_code": "US",
            "telephone_number": "901-227-9580",
            "fax_number": "901-227-9527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATE",
        "first_name": "DANIELLE",
        "middle_name": "LATRICE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "25456",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "50274",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MS",
            "license": "25456",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TN",
            "license": "50274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.