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JUSTIN B TUCKER PA-C
NPI 1669717328
Physician Assistant in Memphis, TN

Active since December 06, 2012PECOS Enrolled
4095 AMERICAN WAY, SUITE 1, MEMPHIS, TN 38118(901) 271-9500(901) 271-9501 Get Directions Write a Review

NPPES record last updated: October 25, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 25, 2017, Mar 31, 2016 (2 updates tracked since 2016).

About Justin B Tucker Pa-c NPPES

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

JUSTIN B TUCKER PA-C (NPI 1669717328) is an individual physician assistant in Memphis, Tennessee, licensed in Tennessee (2280) and active in the NPI registry since December 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Memphis.

NPPES Registry Identity

NPI1669717328
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJUSTIN B TUCKERCredential: PA-C
Location Address4095 AMERICAN WAY, SUITE 1Memphis, TN 38118-8339
Mailing Address6799 Great Oaks Rd Ste 100Memphis, TN 38138-2571 · (901) 751-0405 · Fax (901) 751-9694
Phone(901) 271-9500
Fax(901) 271-9501
Sole ProprietorNo
Enumeration DateDecember 6, 2012
Last NPPES UpdateOctober 25, 20172 updates tracked since enumeration
✔ NPI 1669717328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · 2280
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4095 AMERICAN WAY, Memphis, TN 38118
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Secondary Practice Location 1

Location 14095 American Way, Suite 1Memphis, TN 38118-8339 · Phone (901) 271-9500 · Fax (901) 271-9501

Other Identifiers 2

MedicaidQ000691TN
Medicare PIN103I979872TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin B 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38118 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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 13

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

DR. DAVID ANDREW HUBER MD
Student in an Organized Health Care Education/Training Program
4095 AMERICAN WAY, RESURRECTION FAMILY MEDICINE RESIDENCY
MEMPHIS, TN 38118
Shelby County (901) 271-9500
CASEY GORDON JACKSON M.D.
Internal Medicine
4095 AMERICAN WAY
MEMPHIS, TN 38118
Shelby County (901) 515-5000
DR. RICHARD N DONLON M.D.
Emergency Medicine
4095 AMERICAN WAY, SUITE 1
MEMPHIS, TN 38118
Shelby County (901) 271-9500
RESURRECTION HEALTH
Clinic/Center (Community Health)
4095 AMERICAN WAY
MEMPHIS, TN 38118
Shelby County (901) 828-3370
NAUDIA JAMES FNP
Nurse Practitioner
4095 AMERICAN WAY
MEMPHIS, TN 38118
Shelby County (901) 515-5000
ADRAINNE HUNTER
Nurse's Aide
4095 AMERICAN WAY
MEMPHIS, TN 38118
Shelby County (901) 302-4363
EMILIE MARGARET BALL NP
Nurse Practitioner
4095 AMERICAN WAY, SUITE 1
MEMPHIS, TN 38118
Shelby County (901) 271-9500
DAVID JORDAN PASLAY M.D.
Family Medicine
4095 AMERICAN WAY
MEMPHIS, TN 38118
Shelby County (901) 271-9500

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 Justin Tucker's NPI number?

The NPI number for Justin Tucker is 1669717328. It was assigned to this individual provider in the NPPES registry on December 6, 2012.

Where is Justin Tucker located?

Justin Tucker practices at 4095 American Way Suite 1, Memphis, TN 38118. The listed phone number is (901) 271-9500.

What is Justin Tucker's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Justin Tucker enrolled in Medicare?

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

What insurance does Justin Tucker accept?

Health plans from UnitedHealthcare list Justin Tucker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Justin Tucker was last updated on October 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.