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

Active since August 21, 2012Accepts Medicare Assignment
915 GORDON AVE, THOMASVILLE, GA 31792(800) 232-5703 Get Directions Write a Review

NPPES record last updated: August 21, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackson Seth Tucker Aa NPPES

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

JACKSON SETH TUCKER AA (NPI 1053669119) is an individual anesthesiologist assistant in Thomasville, Georgia, licensed in Georgia (00123) and active in the NPI registry since August 2012. He is affiliated with Archbold Memorial and is a graduate of Other (2012).

NPPES Registry Identity

NPI1053669119
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameJACKSON SETH TUCKERCredential: AA
Location Address915 GORDON AVEThomasville, GA 31792-6614
Mailing AddressPo Box 2125Columbus, GA 31902-2125 · (800) 232-5703
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 21, 2012
NPI 1053669119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License Licensed in GA · 00123
Definition

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.

915 GORDON AVE, Thomasville, GA 31792

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jackson Seth Tucker Aa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153571146
PECOS Enrollment IDI20121029000625

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Archbold Memorial

Acute Care Hospitals · Thomasville, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110038
Location915 Gordon Avenue & Mimosa DriveThomasville, GA 31792 · Thomas County
Emergency services Birthing friendly

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.

Nurse Practitioner (Family)
915 GORDON AVE
THOMASVILLE, GA 31792
Internal Medicine
915 GORDON AVE
THOMASVILLE, GA 31792
Student in an Organized Health Care Education/Training Program
915 GORDON AVE
THOMASVILLE, GA 31792
Occupational Therapist
915 GORDON AVE
THOMASVILLE, GA 31792
Pharmacist
915 GORDON AVE
THOMASVILLE, GA 31792
Student in an Organized Health Care Education/Training Program
915 GORDON AVE
THOMASVILLE, GA 31792
Nurse Anesthetist, Certified Registered
915 GORDON AVE
THOMASVILLE, GA 31792
Pharmacist
915 GORDON AVE
THOMASVILLE, GA 31792

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 Jackson Tucker's NPI number?

The NPI number for Jackson Tucker is 1053669119. It was assigned to this individual provider in the NPPES registry on August 21, 2012.

Where is Jackson Tucker located?

Jackson Tucker practices at 915 Gordon Ave, Thomasville, GA 31792. The listed phone number is (800) 232-5703.

What is Jackson Tucker's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Jackson Tucker enrolled in Medicare?

Yes. Jackson Tucker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jackson Tucker affiliated with any hospitals?

According to CMS data, Jackson Tucker is affiliated with Archbold Memorial.

When was this NPI record last updated?

The NPPES record for Jackson Tucker was last updated on August 21, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.