Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dillon Michael Tate, NURSEPRACTITIONER

Individual provider Family Medicine Physician · NPI 1730874249

Dillon Michael Tate, NURSEPRACTITIONER is a Nurse Practitioner in Haleyville, Alabama. Qualified in 2023, 3 years ago. Practices with Revive Medical Center LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
3
Licensed in
MS
In the registry since
2023

Practice location Address checks out

1728 11th Ave
Haleyville, AL 35565-1506
Phone: (205) 465-7822
Fax: (260) 399-4004
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 906197 (MS)

Record details

NPI number1730874249
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedApril 10, 2023
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023
Mailing address1728 11th Ave, Haleyville, AL 35565-1506

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Revive Medical Center Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Haleyville