Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Addison Tate Debord

Individual provider General Practice Physician · NPI 1548063142

Addison Tate Debord is a General Practice Physician in Monroe, North Carolina. Licensed in North Carolina. Registered with an NPI since 2025.

Licensed in
NC
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1106 Reynolds St Ste 100
Monroe, NC 28112-4376
Phone: (704) 289-5443
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
General Practice Physician Taxonomy 208D00000X · Licence 2026-04160 (NC)

Record details

NPI number1548063142
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2025
Last updated in NPPESSeptember 5, 2026
Certification dateSeptember 5, 2026

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