DR. JORDAN LEE TATE (M.D., MPH) – Interventional Pain Medicine Physician, NPI 1508008079

DR. JORDAN LEE TATE (M.D., MPH) is a healthcare provider. based in Marietta, Georgia. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D., MPH. They hold a License No. STUDENT (GA). The NPI Number for DR. JORDAN LEE TATE (M.D., MPH) is 1508008079

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. JORDAN LEE TATE (M.D., MPH)
NPI
1508008079
Phone
(770) 590-1078
Address
400 TOWER RD NE
Enumeration Date
30 March 2009
Last Update Date
13 May 2022

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6789714167
Graduation Year
2009 (17 years ago)
PAC ID
6507094182
Group Practice PAC ID
7517370299
Professional Enrollment ID
I20141217000950
Address ID
GA301434069JA1101XRDXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness75
Years active:17State licenses:4Digital endpointsOther names

314 PHYSICAL MEDICINE AND REHABILITATION in GA

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Provider Addresses for DR. JORDAN LEE TATE (M.D., MPH)

  • 400, Tower Road Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States

    SUITE 350

    MARIETTA, GA 300609411

    Phone: (770) 590-1078

    Fax: (770) 422-7306

    Type: Mailing

  • PO BOX 28415

    BELFAST, ME 049152036

    Phone: (888) 488-8289

    Fax: (502) 919-9780

    Type: Mailing

  • 1101 OLD PHILADELPHIA RD STE G

    JASPER, GA 301434069

    Phone: (678) 971-4167

    Fax: (833) 989-2501

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 390 Open Payments records for all available years, with a total value of $172,098.

Total Amount is formed as General ($172,098) + Research ($0) + Ownership ($0) = $172,098.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Curonix LLC ($74,245).

Total Amount

$172,098

General + Research + Ownership

Payments

390

Total payment records

General Amount

$172,098

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2014-12-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20141217000950IPhysical Medicine And RehabilitationGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes166125$0
99204New patient office or other outpatient visit, 45-59 minutes154154$0
64493Injection of lower or sacral spine facet joint using imaging guidance, single level13278$0
64494Injection of lower or sacral spine facet joint using imaging guidance, second level13177$0
80305Testing for presence of drug, read by direct observation123116$0
View full utilization report →

Insurance plans in this area (ZIP 30060)

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Provider's Procedures

DR. JORDAN LEE TATE (M.D., MPH) performs procedures in PHYSICAL MEDICINE AND REHABILITATION. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL MEDICINE AND REHABILITATIOGA62311Injections of substances into lower or sacral spine1911
PHYSICAL MEDICINE AND REHABILITATIOGA64493Injections of lower or sacral spine facet joint using imaging guidance7040

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: 7517370299View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Interventional Pain ManagementGA
Nurse PractitionerGA
Interventional Pain ManagementGA
Physician AssistantSC
Pain ManagementGA
Internal MedicineGA
Physician AssistantGA
Physician AssistantGA

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Frequently asked questions

What number should I use to identify DR. JORDAN LEE TATE (M.D., MPH) for billing?
Administrative and clinical systems typically use NPI 1508008079 for DR. JORDAN LEE TATE (M.D., MPH).
Should I treat DR. JORDAN LEE TATE (M.D., MPH) as an active provider?
Patients and plans typically see DR. JORDAN LEE TATE (M.D., MPH) as active in the national extract.
Which specialty label fits DR. JORDAN LEE TATE (M.D., MPH)?
NPPES ties DR. JORDAN LEE TATE (M.D., MPH) to Interventional Pain Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. JORDAN LEE TATE (M.D., MPH)?
The directory associates DR. JORDAN LEE TATE (M.D., MPH) with Marietta, Georgia. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. JORDAN LEE TATE (M.D., MPH)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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