| Dr Jordan Lee Tate, MD, MPH | |
|
1101 Old Philadelphia Rd Ste G, Jasper, GA 30143-4069 | |
| (678) 971-4167 | |
| (833) 989-2501 |
| Full Name | Dr Jordan Lee Tate |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 16 Years |
| Location | 1101 Old Philadelphia Rd Ste G, Jasper, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508008079 | NPI | - | NPPES |
| 003150702 | Medicaid | GA |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Mountainside Hospital Inc | Jasper, GA | Hospital |
| Northside Hospital Cherokee | Canton, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Pain And Spine Associates Llc | 7517370299 | 17 |
| Entity Name | The Interventional Spine And Pain Management Center, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518012004 PECOS PAC ID: 2769483031 Enrollment ID: O20070130000066 |
| Entity Name | Southeastern Interventional Pain Asc, Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1588994685 PECOS PAC ID: 2062799794 Enrollment ID: O20170508000855 |
| Entity Name | Alliance Surgery Center At Woodstock Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1215410592 PECOS PAC ID: 1759623945 Enrollment ID: O20190509000906 |
| Entity Name | Southern Pain And Spine Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336744770 PECOS PAC ID: 7517370299 Enrollment ID: O20210120000336 |
| Entity Name | Northeast Georgia Surgery Center |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1265037600 PECOS PAC ID: 4284027962 Enrollment ID: O20220201001128 |
| Entity Name | Jasper Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1730842311 PECOS PAC ID: 6709254964 Enrollment ID: O20221118000413 |
| Entity Name | Newnan Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1740953447 PECOS PAC ID: 8527428812 Enrollment ID: O20230718003501 |
| Entity Name | Athens Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1467140327 PECOS PAC ID: 7113380759 Enrollment ID: O20230829003502 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jordan Lee Tate, MD, MPH Po Box 28415, Belfast, ME 04915-2036 Ph: (888) 488-8289 | Dr Jordan Lee Tate, MD, MPH 1101 Old Philadelphia Rd Ste G, Jasper, GA 30143-4069 Ph: (678) 971-4167 |