MEDICARE: KRISTEN TATE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RPH022880	GA

General Provider Information

NPI Number	:	1578416541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN TATE

Provider Business Mailing Address
First Line	:	4158 SPEYSIDE PL NW
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-8799
Country	:	US
Telephone Number	:	770-843-9992
Fax Number	:

Provider Business Practice Location Address
First Line	:	1745 PEACHTREE ST NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-2410
Country	:	US
Telephone Number	:	404-888-7666
Fax Number	:	404-888-7661

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

Similar Medicare Providers

1588779896 — ANNETTE M MILES MD MPH
Practice Location Address:

1745 PEACHTREE ST NE , SU
ATLANTA, GA
30309-2410

Practice Phone: 404-888-7664
Practice Fax:

1568577450 — KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
Practice Location Address:

1745 PEACHTREE RD NE
ATLANTA, GA
30309-2410

Practice Phone: 404-888-7656
Practice Fax: 404-888-7661

1477716009 — KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC.
Practice Location Address:

1745 PEACHTREE RD NE
ATLANTA, GA
30309-2410

Practice Phone: 404-888-7646
Practice Fax:

1144508482 — DR. SCOTT COOPER PHARM.D.
Practice Location Address:

1745 PEACHTREE RD NE
ATLANTA, GA
30309-2410

Practice Phone: 404-888-7641
Practice Fax:

1205255056 — CIARA SHANIS TALBOT MD
Practice Location Address:

1745 PEACHTREE ST NE
ATLANTA, GA
30309-2410

Practice Phone: 800-611-1811
Practice Fax:

1235687906 — MARION CATRICE COLEMAN FNP
Practice Location Address:

1745 PEACHTREE ST NE , KAISER PERMANENTE BROOKWOOD MEDICAL CENTER
ATLANTA, GA
30309-2410

Practice Phone: 866-389-2727
Practice Fax:

Directions to “ KRISTEN TATE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.