JESSE WAYNE TATE DO
NPI 1902653488
Student in an Organized Health Care Education/Training Program in Fayetteville, NC
About Jesse Wayne Tate Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSE WAYNE TATE DO (NPI 1902653488) is an individual student in an organized health care education/training program in Fayetteville, North Carolina and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jesse Wayne Tate Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
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 Jesse Tate's NPI number?
The NPI number for Jesse Tate is 1902653488. It was assigned to this individual provider in the NPPES registry on May 2, 2024.
Where is Jesse Tate located?
Jesse Tate practices at 1601 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 678-0100.
What is Jesse 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 Jesse Tate enrolled in Medicare?
Yes. Jesse Tate is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jesse Tate was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Jesse Wayne Tate, DO · NPI 1902653488
Student in an Organized Health Care Education/Training Program provider in Fayetteville, North Carolina. Individual provider, active in the CMS NPPES registry since May 2, 2024.
## Identity
- **NPI:** 1902653488 (Entity type: Individual)
- **Enumerated:** May 2, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1601 OWEN DR, Fayetteville, NC 28304-3425
- **Phone:** (910) 678-0100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** August 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1902653488) · Data from the CMS NPPES public registry.