JACKSON SETH TUCKER AA
NPI 1053669119
Anesthesiologist Assistant in Thomasville, GA

NPI Status: Active since August 21, 2012

Contact Information

915 GORDON AVE
THOMASVILLE, GA
ZIP 31792
Phone: (800) 232-5703

Get Directions Write a Review

  • Individual
  • Male
  • Years of Experience 14
  • Anesthesiologist Assistant
  • Accepts Medicare Approved Payment

About JACKSON TUCKER

This page provides the complete NPI Profile along with additional information for Jackson Tucker, a provider established in Thomasville, Georgia with a medical specialization in Anesthesiologist Assistant and more than 14 years of experience. The healthcare provider is registered in the NPI registry with number 1053669119 assigned on August 2012. The practitioner's primary taxonomy code is 367H00000X with license number 00123 (GA). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1053669119
Provider Name
JACKSON SETH TUCKER AA
Gender
Male
Entity Type
Individual
Location Address
915 GORDON AVE THOMASVILLE, GA 31792
Location Phone
(800) 232-5703
Mailing Address
PO BOX 2125 COLUMBUS, GA 31902
Mailing Phone
(800) 232-5703
Medical School Name
OTHER
Graduation Year
2012
Is Sole Proprietor?
No
Enumeration Date
08-21-2012
Last Update Date
08-21-2012
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiologist Assistant

Taxonomy Code
367H00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
00123
License State
GA
Taxonomy Description
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Medicare Participation & PECOS Enrollment Status

Jackson Tucker is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 1153571146

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20121029000625

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jackson Tucker is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ARCHBOLD MEMORIAL915 GORDON AVENUE & MIMOSA DRIVE
THOMASVILLE, GA 31792
(229) 228-2880Acute Care Hospitals

Reviews for JACKSON SETH TUCKER AA

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1053669119
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201031261812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 1 + 2 + 6 + 1 + 8 + 1 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1053669119 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MR. WILLIAM RALPH ALDAY CRNA

Nurse Anesthetist, Certified Registered

915 GORDON AVE
THOMASVILLE, GA
ZIP 31792

(334) 279-1450

GARY DAVIDUK CRNA

Nurse Anesthetist, Certified Registered

915 GORDON AVE
THOMASVILLE, GA
ZIP 31792

(229) 228-2000

ALEX T HARBIN CRNA

Nurse Anesthetist, Certified Registered

915 GORDON AVE
THOMASVILLE, GA
ZIP 31792

(229) 228-2000

SARAH WILSON CRNA

Nurse Anesthetist, Certified Registered

915 GORDON AVE
THOMASVILLE, GA
ZIP 31792

(229) 228-2000

DR. EDUARDO JOSE STINCER M.D.

Radiology

(Diagnostic Radiology)

915 GORDON AVE
THOMASVILLE, GA
ZIP 31792

(229) 228-2000

DR. GREGORY LOUIS ROESEL M.D.

Radiology

(Diagnostic Radiology)

915 GORDON AVE
THOMASVILLE, GA
ZIP 31792

(229) 228-2000

DR. KATHLEEN LEE HANNAN M.D.

Radiology

(Diagnostic Radiology)

915 GORDON AVE
THOMASVILLE, GA
ZIP 31792

(229) 228-2000

STACIE N. PERSING CRNA

Nurse Anesthetist, Certified Registered

915 GORDON AVE
THOMASVILLE, GA
ZIP 31792

(229) 228-2000

DR. JACQUELINE SMITH M.D.

Radiology

(Diagnostic Radiology)

915 GORDON AVE
THOMASVILLE, GA
ZIP 31792

(229) 228-2000

DR. MARY ANNE BULLARD M.D.

Radiology

(Diagnostic Radiology)

915 GORDON AVE
THOMASVILLE, GA
ZIP 31792

(229) 228-2000

DR. JOHN BENNETT CARICO M.D.

Radiology

(Diagnostic Radiology)

915 GORDON AVE
THOMASVILLE, GA
ZIP 31792

(229) 228-2000

RUDOLF JAKOB HEHN MD

Family Medicine

915 GORDON AVE
THOMASVILLE, GA
ZIP 31792

(229) 228-2000

DR. ALICE A. BARKER M.D.

Preventive Medicine

(Occupational Medicine)

915 GORDON AVE
THOMASVILLE, GA
ZIP 31792

(229) 228-8800

DR. IBRAHIM QUINONES M.D.

Emergency Medicine

915 GORDON AVE
THOMASVILLE, GA
ZIP 31792

(229) 228-2000

DR. MICHAEL ARTHUR CROWLEY M.D.

Emergency Medicine

915 GORDON AVE
THOMASVILLE, GA
ZIP 31792

(229) 228-2000

DR. DOMINIC ANTHONY MONDA M.D.

Emergency Medicine

915 GORDON AVE
THOMASVILLE, GA
ZIP 31792

(229) 228-2000

DR. ARCHIBALD A. MCNEILL III M.D.

Emergency Medicine

915 GORDON AVE
THOMASVILLE, GA
ZIP 31792

(229) 228-2000

DR. CARY CARTER NEWMAN M.D.

Radiology

(Nuclear Radiology)

915 GORDON AVE
THOMASVILLE, GA
ZIP 31792

(229) 228-2000

DR. THOMAS COOPER FEARNEYHOUGH M.D.

Radiology

(Diagnostic Radiology)

915 GORDON AVE
THOMASVILLE, GA
ZIP 31792

(229) 228-2000

DR. LISSA PHELPS MURPHY M.D.

Emergency Medicine

915 GORDON AVE
THOMASVILLE, GA
ZIP 31792

(229) 228-2000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053669119, enumerated as an "individual" on August 21, 2012.

The provider is located at 915 GORDON AVE THOMASVILLE, GA 31792 and the phone number is (800) 232-5703.

Anesthesiologist Assistant with taxonomy code 367H00000X.

Jackson Tucker is affiliated with: ARCHBOLD MEMORIAL.