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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

VICTOR JASON TUCKER PA-C
NPI 1104800390
Physician Assistant - Medical in Rome, GA

Active since December 01, 2005PECOS Enrolled
20 RIVERBEND DR SW, ROME, GA 30161(706) 295-0070(706) 235-1618 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Victor Jason Tucker Pa-c NPPES

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

VICTOR JASON TUCKER PA-C (NPI 1104800390) is an individual medical provider in Rome, Georgia, licensed in Georgia (3922) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104800390
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameVICTOR JASON TUCKERCredential: PA-C
Location Address20 RIVERBEND DR SWRome, GA 30161-6066
Mailing Address20 Riverbend Dr SwRome, GA 30161-6066 · (706) 295-0070 · Fax (706) 235-1618
Phone(706) 295-0070
Fax(706) 235-1618
Sole ProprietorNo
Enumeration DateDecember 1, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1104800390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 3922
20 RIVERBEND DR SW, Rome, GA 30161
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victor Jason Tucker Pa-c 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
182 services175 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
62 services61 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COOSA NEUROSURGERY PC
Neurological Surgery
20 RIVERBEND DR SW
ROME, GA 30161
Floyd County (706) 238-5465
ROME NEUROSPINAL CENTER PC
Neurological Surgery
20 RIVERBEND DR SW
ROME, GA 30161
Floyd County (706) 295-0070
COOSA NEUROLOGY PC
Psychiatry & Neurology (Neurology)
20 RIVERBEND DR SW
ROME, GA 30161
Floyd County (706) 295-0070
DR. KEVIN E BROWN M.D.
Family Medicine
20 RIVERBEND DR SW
ROME, GA 30161
Floyd County (706) 291-1270
BROWN FAMILY MEDICINE, LLC
Family Medicine
20 RIVERBEND DR SW
ROME, GA 30161
Floyd County (706) 291-1270
NORTH GEORGIA NEPHROLOGY ASSOCIATES PC
Internal Medicine (Nephrology)
20 RIVERBEND DR SW
ROME, GA 30161
Floyd County (706) 378-7661
LOUIS A DINATTI M.D.
Emergency Medicine
20 RIVERBEND DR SW
ROME, GA 30161
Floyd County (706) 295-0070

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 Victor Tucker's NPI number?

The NPI number for Victor Tucker is 1104800390. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Victor Tucker located?

Victor Tucker practices at 20 Riverbend Dr SW, Rome, GA 30161. The listed phone number is (706) 295-0070.

What is Victor Tucker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Victor Tucker enrolled in Medicare?

Yes. Victor Tucker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Victor Tucker was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.