Dr Jordan Lee Tate, MD, MPH is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Jasper, Georgia. She went to Emory University School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. She is a member of the group practice Southern Pain And Spine Associates Llc and her current practice location is
1101 Old Philadelphia Rd Ste G, Jasper, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 971-4167.
Dr Jordan Lee Tate is licensed to practice in Georgia (license number 72139) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508008079.
Physician's Profile
Full Name | Dr Jordan Lee Tate |
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Gender | Female |
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Speciality | Physical Medicine And Rehabilitation |
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Experience | 15 Years |
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Location | 1101 Old Philadelphia Rd Ste G, Jasper, Georgia |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Jordan Lee Tate attended and graduated from Emory University School Of Medicine in 2009
NPI Data:
- NPI Number: 1508008079
- Provider Enumeration Date: 03/30/2009
- Last Update Date: 05/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 6507094182
- Enrollment ID: I20141217000950
Medical Identifiers
Medical identifiers for Dr Jordan Lee Tate such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508008079 | NPI | - | NPPES |
003150702 | Medicaid | GA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | STUDENT (Georgia) | Secondary |
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 003916 (Georgia) | Secondary |
208VP0000X | Pain Medicine - Pain Medicine | ME115895 (Florida) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 72139 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Southern Pain And Spine Associates Llc | 7517370299 | 8 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jordan Lee Tate allows following entities to bill medicare on her behalf.
Entity Name | Interventional Spine And Pain Management Center, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518012004 PECOS PAC ID: 2769483031 Enrollment ID: O20070130000066 |
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Entity Name | Alliance Surgery Center At Woodstock Llc |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
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Entity Identifiers | NPI Number: 1215410592 PECOS PAC ID: 1759623945 Enrollment ID: O20190509000906 |
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Entity Name | Southern Pain And Spine Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336744770 PECOS PAC ID: 7517370299 Enrollment ID: O20210120000336 |
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Entity Name | Northeast Georgia Surgery Center |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
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Entity Identifiers | NPI Number: 1265037600 PECOS PAC ID: 4284027962 Enrollment ID: O20220201001128 |
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Entity Name | Newnan Surgery Center Llc |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
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Entity Identifiers | NPI Number: 1740953447 PECOS PAC ID: 8527428812 Enrollment ID: O20230718003501 |
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Entity Name | Athens Surgery Center Llc |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
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Entity Identifiers | NPI Number: 1467140327 PECOS PAC ID: 7113380759 Enrollment ID: O20230829003502 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jordan Lee Tate is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
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 |
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