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

Hiroyuki Tada

Individual provider Family Nurse Practitioner · NPI 1710346895

Hiroyuki Tada is a Nurse Practitioner in Buford, Georgia. Qualified in 2015, 11 years ago. Practices with Southeast Medical Group, PC, a 138-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2016
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4700 Nelson Brogdon Blvd Ste 250
Buford, GA 30518-5415
Phone: (678) 341-6380
Fax: (678) 288-1064
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN207467 (GA)

Record details

NPI number1710346895
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 17, 2016
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024
Mailing address2620 Elm Hill Pike, Nashville, TN 37214-3108

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Southeast Medical Group, P.C. — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Buford