DORIAN RAYMONE TATE – Certified Registered Nurse Anesthetist, NPI 1831798354

DORIAN RAYMONE TATE is a healthcare provider. based in Brookhaven, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. PENDING (IN). The NPI Number for DORIAN RAYMONE TATE is 1831798354

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DORIAN RAYMONE TATE
NPI
1831798354
Phone
(404) 401-5338
Address
2924 CLAIRMONT RD NE APT 529
Enumeration Date
26 October 2020
Last Update Date
24 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4804204027
Graduation Year
2020 (6 years ago)
PAC ID
8426024522
Group Practice PAC ID
9931429198
Professional Enrollment ID
I20210630002015
Address ID
AZ851225303CA1800XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IN

Provider Addresses for DORIAN RAYMONE TATE

  • 2924 CLAIRMONT RD NE APT 529

    BROOKHAVEN, GA 303294509

    Phone: (404) 401-5338

    Type: Mailing

  • 5437 COVENTRY LN APT 207

    FORT WAYNE, IN 468047177

    Phone: (404) 401-5338

    Type: Mailing

  • 7950 W JEFFERSON BLVD

    FORT WAYNE, IN 468044140

    Phone: (260) 435-7001

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $147.

Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.

Last reported payment date: 2024-03-14 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($147).

Total Amount

$147

General + Research + Ownership

Payments

2

Total payment records

General Amount

$147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-14

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: 2021-06-30

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
I20210630002015ICertified Registered Nurse Anesthetist (Crna)AZTBD

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
01930Anesthesia for other x-ray on vein or lymph system2827$0
00300Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back2221$0
00910Anesthesia for other procedure on urinary system through urethra2121$0
01402Anesthesia for procedure for total knee joint replacement1919$0
00918Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope1513$0
View full utilization report →

Insurance plans in this area (ZIP 30329)

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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: 9931429198View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)NM
Certified Registered Nurse Anesthetist (Crna)WA
A N E S T H E S I O L O G YAZ
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)IA
Certified Registered Nurse Anesthetist (Crna)AZ
-TX
Certified Registered Nurse Anesthetist (Crna)AZ
A N E S T H E S I O L O G YAZ

Reviews

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Frequently asked questions

How is DORIAN RAYMONE TATE identified in CMS data?
CMS-hosted NPPES data lists DORIAN RAYMONE TATE with NPI 1831798354.
Is DORIAN RAYMONE TATE listed as active for patients and plans?
The listing shows DORIAN RAYMONE TATE as active in the NPI system.
What is DORIAN RAYMONE TATE's primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for DORIAN RAYMONE TATE here. Clinical services aligned with this taxonomy classification.
What address line appears for DORIAN RAYMONE TATE?
DORIAN RAYMONE TATE's geographic hint is Brookhaven, Georgia in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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