DONALD TUCKER PLLC
NPI 1154596120
Internal Medicine in Tullahoma, TN

Q: What is Donald Tucker PLLC's NPI number?

The NPI number for Donald Tucker PLLC is 1154596120. It was assigned to this organization in the NPPES registry on April 29, 2008.

Q: What is Donald Tucker PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 29, 2008CLIA 44D0989983 · Waiver

100 WILLIAM NORTHERN BLVD, TULLAHOMA, TN 37388(931) 454-0489(931) 454-2348 Get Directions Write a Review

NPPES record last updated: August 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Donald Tucker Pllc NPPES

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

DONALD TUCKER PLLC (NPI 1154596120) is a healthcare organization registered as an internal medicine in Tullahoma, Tennessee and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through March 6, 2027 and lists Donald V Tucker, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1154596120

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameDONALD TUCKER PLLC

Location Address100 WILLIAM NORTHERN BLVDTullahoma, TN 37388-4754

Mailing Address100 William Northern BlvdTullahoma, TN 37388 · (931) 454-0489 · Fax (931) 454-2348

Phone(931) 454-0489

Fax(931) 454-2348

Organization SubpartNo

Authorized OfficialDonald V TuckerMedical Doctor · (931) 454-0489

Enumeration DateApril 29, 2008

Last NPPES UpdateAugust 22, 2008

✔ NPI 1154596120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TN · MD024197

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

100 WILLIAM NORTHERN BLVD, Tullahoma, TN 37388

Open in Google Maps ↗

Other Identifiers 3

Other4185013TN · Bcbs

Medicare PIN30733002TN

Medicaid1505159TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D0989983

Donald Tucker MD · Tullahoma, TN

Active · expires Mar 6, 2027

CLIA Number44D0989983

Laboratory TypePhysician Office

Certificate Effective DateMarch 7, 2025

Certificate Expiration DateMarch 6, 2027

Laboratory DirectorDonald V. Tucker MD

Laboratory Phone(931) 454-0489

Laboratory LocationDonald Tucker MD100 William Northern Blvd, Tullahoma, TN 37388

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

MRS. TARA BETH TYE NP-C

Nurse Practitioner (Family)