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DR. MICHAEL CARL TUCKER DO
NPI 1487404521
Student in an Organized Health Care Education/Training Program in Gainesville, GA

Active since March 22, 2024PECOS Enrolled
743 SPRING ST NE REAR 710, GAINESVILLE, GA 30501(770) 219-8730 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael Carl Tucker Do NPPES

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

DR. MICHAEL CARL TUCKER DO (NPI 1487404521) is an individual student in an organized health care education/training program in Gainesville, Georgia and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487404521
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MICHAEL CARL TUCKERCredential: DO
Location Address743 SPRING ST NE REAR 710Gainesville, GA 30501-3899
Mailing Address743 Spring St Ne Rear 710Gainesville, GA 30501-3899
Phone(770) 219-8730
Sole ProprietorNo
Enumeration DateMarch 22, 2024
NPPES CertifiedMarch 22, 2024
✔ NPI 1487404521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
743 SPRING ST NE REAR 710, Gainesville, GA 30501
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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)

Dr. Michael Carl Tucker Do 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.

Other Providers at the Same Location NPPES 8

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

DR. RIAZ MAHMOOD DO
Internal Medicine
743 SPRING ST NE REAR 710
GAINESVILLE, GA 30501
Hall County (770) 219-8730
BARATH PRASHANTH SIVASUBRAMANIAN
Internal Medicine
743 SPRING ST NE REAR 710
GAINESVILLE, GA 30501
Hall County (770) 219-8730
DR. ADEYEMI OLUMAYOWA GBOGBOADE MD
Family Medicine
743 SPRING ST NE REAR 710
GAINESVILLE, GA 30501
Hall County (770) 219-8730
MS. NISHI PATEL DO
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE REAR 710
GAINESVILLE, GA 30501
Hall County (770) 219-1200
ELIZA SOOJUNG KANG
Surgery
743 SPRING ST NE REAR 710
GAINESVILLE, GA 30501
Hall County (770) 219-9000
MOLLY MARIE MCNAMEE MD, MPH
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE REAR 710
GAINESVILLE, GA 30501
Hall County (770) 284-6961
NAWRAS SILIN MD
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE REAR 710
GAINESVILLE, GA 30501
Hall County (770) 219-8730
DR. BRENTON OTEY MD
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE REAR 710
GAINESVILLE, GA 30501
Hall County (770) 219-8730

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 Michael Tucker's NPI number?

The NPI number for Michael Tucker is 1487404521. It was assigned to this individual provider in the NPPES registry on March 22, 2024.

Where is Michael Tucker located?

Michael Tucker practices at 743 Spring St NE Rear 710, Gainesville, GA 30501. The listed phone number is (770) 219-8730.

What is Michael Tucker's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Michael Tucker enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Michael Tucker was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.