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

Dr. Crystal Lane Tate, MD

Individual provider Family Medicine Physician · NPI 1255390472

Dr. Crystal Lane Tate, MD is a Family Practice in Ecru, Mississippi. Graduated from University of Mississippi School of Medicine in 1992, 34 years ago. Practices with MS State Department of Health, a 21-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
34
Trained at
University of Mississippi School of Medicine
Licensed in
MS
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

375 Main St
Ecru, MS 38841-9118
Phone: (662) 489-5609
Fax: (662) 489-3814
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 13565 (MS)

Record details

NPI number1255390472
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 17, 2006
Last updated in NPPESDecember 4, 2008

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Ms State Department Of Health — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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