1. Home
  2. Directory
  3. Mississippi
  4. Diberville
  5. Family Medicine
  6. NPI Profile

MELISSA WILSON TUCKER M.D.
NPI 1649473919
Family Medicine in Diberville, MS

Active since June 06, 2007PECOS Enrolled
3680 SANGANI BLVD, DIBERVILLE, MS 39540(228) 354-9300(228) 354-9301 Get Directions Write a Review

NPPES record last updated: September 17, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Melissa Wilson Tucker M.d. NPPES

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

MELISSA WILSON TUCKER M.D. (NPI 1649473919) is an individual family medicine provider in Diberville, Mississippi, licensed in Mississippi (22560) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649473919
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMELISSA WILSON TUCKERCredential: M.D.
Location Address3680 SANGANI BLVDDiberville, MS 39540-8703
Mailing Address3680 Sangani BlvdDiberville, MS 39540-8703 · (228) 354-9300 · Fax (228) 354-9301
Phone(228) 354-9300
Fax(228) 354-9301
Sole ProprietorNo
Enumeration DateJune 6, 2007
Last NPPES UpdateSeptember 17, 2014
✔ NPI 1649473919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 22560
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.
3680 SANGANI BLVD, Diberville, MS 39540
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Wilson 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.

Medicare Billing Reassignment

Medicare enrollment records show Melissa Tucker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Memorial Hospital At Gulfport
2.5 mi
General Acute Care Hospital
1720B MEDICAL PARK DR
Biloxi, MS 39532
  • Reassigned Medicare billing, Mississippi enrollment
  • 731 clinicians in this Medicare group
NPI 1215546635 (228) 702-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39540 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 2

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

BILOXI HMA PHYSICIAN MANAGEMENT, LLC
Family Medicine
3680 SANGANI BLVD
DIBERVILLE, MS 39540
Harrison County (228) 354-9300
MR. MICHAEL DENNIS ROGERS PT
Physical Therapist
3680 SANGANI BLVD, SUITE D
DIBERVILLE, MS 39540
Harrison County (601) 714-0315

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 Melissa Tucker's NPI number?

The NPI number for Melissa Tucker is 1649473919. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Where is Melissa Tucker located?

Melissa Tucker practices at 3680 Sangani Blvd, Diberville, MS 39540. The listed phone number is (228) 354-9300.

What is Melissa Tucker's specialty?

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

Is Melissa Tucker enrolled in Medicare?

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

Which organization bills Medicare for Melissa Tucker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Tucker reassigns Medicare benefits to Memorial Hospital At Gulfport (Biloxi, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Tucker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Melissa Tucker was last updated on September 17, 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.