DUSTIN M TATE


Address: 1800 Tree Ln, Suite 140, Snellville, GA 30078-2016
Phone: 7709821260

DUSTIN M TATE (NPI# 1811298896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811298896
Entity Type Individual
Full Name DUSTIN M TATE
Credential ATC
Practice Address 1800 Tree Ln
Suite 140
Snellville
GA 30078-2016
Mailing Address 2400 Wisteria Dr
Suite A
Snellville
GA 30078-2689
Practice Telephone 7709821260
Practice Fax Number 7709821262
Mailing Telephone 7709820102
Mailing Fax Number 7709820130
Enumeration Date 2010-11-08
Last Update Date 2010-11-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
AT001832 GA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1800 TREE LN
SUITE 140
City SNELLVILLE
State GA
Zip Code 30078-2016

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881689115 Janice C Lim Family Medicine 1800 Tree Ln, Suite 120, Snellville, GA 30078-2016 2005-09-13
1518343060 Lauren Alesch Physical Therapist 1800 Tree Ln, Suite 140, Snellville, GA 30078-2016 2015-08-07
1023493558 Kendra Gardner Specialist/Technologist 1800 Tree Ln, Suite 140, Snellville, GA 30078-2016 2015-07-27
1598176406 Air Evac Ems Inc. Ambulance 1800 Tree Ln, Snellville, GA 30078-2016 2014-05-13
1851717201 Sarah Ritchie Physical Therapist 1800 Tree Ln, Suite 140, Snellville, GA 30078-2016 2014-03-10
1518399468 Kyle E Fenton Physical Therapist 1800 Tree Ln, Suite 140, Snellville, GA 30078-2016 2013-08-02
1912258088 Nsh Cancer Institute Professional Services G LLC Durable Medical Equipment & Medical Supplies 1800 Tree Ln, Eastside Physician Plaza, Snellville, GA 30078-2016 2012-09-28
1134434467 Gwinnett Orthopedics PC Specialist 1800 Tree Ln, Suite 140, Snellville, GA 30078-2016 2010-08-11
1952531626 Andrew D Balick Specialist/Technologist 1800 Tree Ln, Suite 140, Snellville, GA 30078-2016 2009-07-16
1477797157 Bethany A Snyder Specialist/Technologist 1800 Tree Ln, Suite 140, Snellville, GA 30078-2016 2009-04-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619594561 Steven Nguyen Optometrist 1905 Scenic Hwy S #1130, Snellville, GA 30078 2020-06-26
1891320776 Youstina Harkas Optometrist 1679 Scenic Hwy S 203, Snellville, GA 30078 2020-03-11
1578101127 Jwwt Neuoromonitoring, LLC Psychiatry & Neurology 1350 Scenic Highway, Suite 266, Snelville, GA 30078 2019-12-13
1679119903 Lashon Poole Wells Social Worker 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 2019-11-21
1427601426 Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC Registered Nurse 1350 Scenic Highway Suite #266, Sneville, GA 30078 2019-07-18
1063975548 Joanne Mcdougal Patterson Nurse Practitioner 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 2019-04-10
1689144263 Israel Branford Physical Therapist 1575 Scenic Hwy Ste 100, Snellville, GA 30078 2018-11-27
1902382997 Brittany Dupree Dermatology 2383 Pate Street North, Snellville, GA 30078 2018-07-13
1134610926 Reid Weston Popple Dentist 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 2018-05-29
1326550492 Optimal Healthcare Services LLC Clinic/Center 2121 Fountain Dr Ste F, Snellville, GA 30078 2017-10-30
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760095202 Two Dragons Tai Chi LLC Specialist/Technologist 4373 Marjorie Rd, Snellville, GA 30039-6538 2020-08-25
1598327264 Jeri Lynn Hall-mcfadden Specialist/Technologist 4373 Marjorie Rd, Snellville, GA 30039-6538 2019-07-02
1023493558 Kendra Gardner Specialist/Technologist 1800 Tree Ln, Suite 140, Snellville, GA 30078-2016 2015-07-27
1205238631 Amanda Hotop Specialist/Technologist 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 2014-09-17
1295143659 Shelby Gaccetta Specialist/Technologist 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 2014-07-30
1780026203 Evan Rosenberry Specialist/Technologist 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 2013-07-25
1457621229 William Miller II Specialist/Technologist 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 2012-01-10
1194003913 Laura Maclaren Specialist/Technologist 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 2011-07-27
1629209036 Ashley B Mcnair Specialist/Technologist 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 2009-08-03
1952531626 Andrew D Balick Specialist/Technologist 1800 Tree Ln, Suite 140, Snellville, GA 30078-2016 2009-07-16
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Competitor

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City SNELLVILLE
Zip Code 30078

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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