WILSON LARRY TUCKER M.D.
NPI 1629090964
Family Medicine in Rome, GA

Q: What is Wilson Tucker's NPI number?

The NPI number for Wilson Tucker is 1629090964. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Q: What is Wilson Tucker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Wilson Tucker was last updated on May 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 24, 2006PECOS Enrolled

304 SHORTER AVE NW, ROME, GA 30165(706) 291-3700(706) 291-8712 Get Directions Write a Review

NPPES record last updated: May 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wilson Larry Tucker M.d. NPPES

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

WILSON LARRY TUCKER M.D. (NPI 1629090964) is an individual family medicine provider in Rome, Georgia, licensed in Georgia (031142) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629090964

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameWILSON LARRY TUCKERCredential: M.D.

Location Address304 SHORTER AVE NWRome, GA 30165-4290

Mailing Address420 E 2nd Ave, Suite 103Rome, GA 30161-3224 · (706) 509-3000 · Fax (706) 509-4608

Phone(706) 291-3700

Fax(706) 291-8712

Sole ProprietorNo

Enumeration DateJuly 24, 2006

Last NPPES UpdateMay 8, 2014

✔ NPI 1629090964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 031142

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

304 SHORTER AVE NW, Rome, GA 30165

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Other Identifiers 2

Medicare UPINC72868GA

Medicaid00375229SGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wilson Larry Tucker M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30165 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. ERICA MONIQUE CALL MD

Psychiatry & Neurology (Psychiatry)

304 SHORTER AVE NW
ROME, GA 30165

Floyd County (706) 232-5650

LINDA H. HOFFMANN N.P.

Nurse Practitioner

304 SHORTER AVE NW, SUITE 102
ROME, GA 30165

Floyd County (706) 233-9349

MELVIN H. THOMAS M.D.

Family Medicine

304 SHORTER AVE NW, SUITE 201
ROME, GA 30165

Floyd County (706) 509-3300

JOHN J DESMOND IV MD

Family Medicine

304 SHORTER AVE NW, SUITE 201
ROME, GA 30165

Floyd County (706) 509-3300

DR. WILLIAM ERICK ANDERSON MD

Family Medicine

304 SHORTER AVE NW, STE 201
ROME, GA 30165

Floyd County (706) 509-3300

DR. FRANK R DON DIEGO MD

Family Medicine

304 SHORTER AVE NW, STE 201
ROME, GA 30165

Floyd County (706) 509-3300

CATHERINE MICHELLE STRICKLAND M.D.

Family Medicine

304 SHORTER AVE NW, SUITE 103
ROME, GA 30165

Floyd County (706) 509-3040

MR. HARRY JACOB MILLS II MED, ATC, LAT

Specialist/Technologist (Athletic Trainer)

304 SHORTER AVE NW, SUITE 101
ROME, GA 30165

Floyd County (706) 509-3400

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 Wilson Tucker's NPI number?

The NPI number for Wilson Tucker is 1629090964. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Wilson Tucker located?

Wilson Tucker practices at 304 Shorter Ave NW, Rome, GA 30165. The listed phone number is (706) 291-3700.

What is Wilson Tucker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wilson Tucker enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Wilson Tucker was last updated on May 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.