DILLON MICHAEL TATE (NURSE PRACTITIONER) – Family Medicine Physician, NPI 1730874249

DILLON MICHAEL TATE (NURSE PRACTITIONER) is a healthcare provider. based in Haleyville, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 906197 (MS). The NPI Number for DILLON MICHAEL TATE (NURSE PRACTITIONER) is 1730874249

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
DILLON MICHAEL TATE (NURSE PRACTITIONER)
NPI
1730874249
Phone
(205) 465-7822
Address
1728 11TH AVE
Enumeration Date
10 April 2023
Last Update Date
19 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2054857822
Graduation Year
2023 (3 years ago)
PAC ID
5395190326
Group Practice PAC ID
3678947793
Professional Enrollment ID
I20231011003619
Address ID
AL355651506HA1728XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for DILLON MICHAEL TATE (NURSE PRACTITIONER)

  • 1728 11TH AVE

    HALEYVILLE, AL 355651506

    Phone: (205) 465-7822

    Fax: (260) 399-4004

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $110.

Total Amount is formed as General ($110) + Research ($0) + Ownership ($0) = $110.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ABBVIE INC. ($56).

Total Amount

$110

General + Research + Ownership

Payments

6

Total payment records

General Amount

$110

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231011003619INurse PractitionerALTBD
I20251015004189INurse PractitionerMSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35565)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678947793View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Family PracticeAL

Reviews

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Frequently asked questions

What number should I use to identify DILLON MICHAEL TATE (NURSE PRACTITIONER) for billing?
Administrative and clinical systems typically use NPI 1730874249 for DILLON MICHAEL TATE (NURSE PRACTITIONER).
Is DILLON MICHAEL TATE (NURSE PRACTITIONER)'s NPI status active today?
Active status means DILLON MICHAEL TATE (NURSE PRACTITIONER)'s NPI record is not deactivated in the public file.
What does the directory say DILLON MICHAEL TATE (NURSE PRACTITIONER) does?
Insurance directories may phrase it differently, but here DILLON MICHAEL TATE (NURSE PRACTITIONER) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DILLON MICHAEL TATE (NURSE PRACTITIONER)?
The directory associates DILLON MICHAEL TATE (NURSE PRACTITIONER) with Haleyville, Alabama. Check all listed addresses for suites or satellite offices.
Why is information missing for DILLON MICHAEL TATE (NURSE PRACTITIONER)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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