ROMAN TATE MD
NPI 1457092728
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since April 02, 2022PECOS Enrolled
316 GLENN ST SW, ATLANTA, GA 30312(704) 807-1792 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Roman Tate Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROMAN TATE MD (NPI 1457092728) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457092728
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameROMAN TATECredential: MD
Location Address316 GLENN ST SWAtlanta, GA 30312-2641
Mailing Address316 Glenn St SwAtlanta, GA 30312-2641
Sole ProprietorNo
Enumeration DateApril 2, 2022
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1457092728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
316 GLENN ST SW, Atlanta, GA 30312

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roman Tate Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roman Tate's NPI number?

The NPI number for Roman Tate is 1457092728. It was assigned to this individual provider in the NPPES registry on April 2, 2022.

Where is Roman Tate located?

Roman Tate practices at 316 Glenn St SW, Atlanta, GA 30312. The listed phone number is (704) 807-1792.

What is Roman Tate's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Roman Tate enrolled in Medicare?

Yes. Roman Tate is registered in the Medicare PECOS enrollment system.

What insurance does Roman Tate accept?

Health plans from Oscar Health list Roman Tate as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roman Tate was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.