Active NPI
Rebecca Tate Jones, MD
- Family Medicine Physician
- Southaven, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 33366
- Practice address
- 7736 Airways Blvd
Southaven, MS 38671-5306 - Phone
- (662) 772-3700
- Fax
- (662) 772-3719
- NPI assigned
- Jun 12, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 010088 | GA | |
| Family Medicine Physician | 207Q00000X | 33366 | MS | Primary |
Addresses
Primary practice location
7736 Airways Blvd
Southaven, MS 38671-5306
Mailing address
965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Phone (877) 348-1281
Other names 1
- Rebecca Elaine Tate
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, MS, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2100 Exeter Rd
Germantown, TN 38138-3966
Phone (901) 757-3424
7736 Airways Blvd
Southaven, MS 38671-5306
Phone (662) 772-5222
Hospital & facility affiliations
- Monroe County Hospital
- Baptist Memorial Hospital Desoto
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010088 | GA | MD | Family Medicine Physician |
| 33366 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Memorial Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| BMC - Attala, LLC | Family Medicine | Past | Accepting new patients |
| Medical Foundation of Central Mississippi, Inc. | Family Medicine | Past | Accepting new patients |
| Juanita G Trimor MD PC | Past | Accepting new patients |
Locations
255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288
7736 Airways Blvd
Southaven, MS 38671
Phone (662) 772-3700
36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801
8138 Country Village Dr
Cordova, TN 38016
Phone (901) 725-8606
2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350
965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281
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.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1306089206
Family Medicine, MS
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
-
- Internal Medicine Physician
- Jackson, MS
- NPI 1992774814
Family Medicine
-
- Primary Care Clinic/Center
- Augusta, GA
- NPI 1437383247
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
-
- Critical Access Hospital
- Forsyth, GA
- NPI 1770684284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1942793005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 RIDGE LAKE BLVD STE 315",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209401",
"telephone_number": "877-348-1281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7736 AIRWAYS BLVD",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386715306",
"telephone_number": "662-772-3700",
"fax_number": "662-772-3719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "REBECCA",
"middle_name": "TATE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-12",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "010088",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "33366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "TATE",
"middle_name": "ELAINE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.