TUCKER JACOB MORRIS MD
NPI 1689461105
Student in an Organized Health Care Education/Training Program in Charleston, WV

Active since April 21, 2025PECOS Enrolled
3100 MACCORKLE AVE SE STE 700, CHARLESTON, WV 25304(304) 351-1600(304) 351-1604 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tucker Jacob Morris Md NPPES

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

TUCKER JACOB MORRIS MD (NPI 1689461105) is an individual student in an organized health care education/training program in Charleston, West Virginia and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689461105
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTUCKER JACOB MORRISCredential: MD
Location Address3100 MACCORKLE AVE SE STE 700Charleston, WV 25304-1230
Mailing Address3100 Maccorkle Ave Se Ste 700Charleston, WV 25304-1230 · (304) 351-1600 · Fax (304) 351-1604
Fax(304) 351-1604
Sole ProprietorYes
Enumeration DateApril 21, 2025
NPPES CertifiedApril 21, 2025
NPI 1689461105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
3100 MACCORKLE AVE SE STE 700, Charleston, WV 25304

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tucker Jacob Morris Md 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 20

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

Surgery
3100 MACCORKLE AVE SE STE 700
CHARLESTON, WV 25304
Nurse Practitioner (Family)
3100 MACCORKLE AVE SE STE 700
CHARLESTON, WV 25304
Student in an Organized Health Care Education/Training Program
3100 MACCORKLE AVE SE STE 700
CHARLESTON, WV 25304
Internal Medicine (Critical Care Medicine)
3100 MACCORKLE AVE SE STE 700
CHARLESTON, WV 25304
Student in an Organized Health Care Education/Training Program
3100 MACCORKLE AVE SE STE 700
CHARLESTON, WV 25304
Pharmacist
3100 MACCORKLE AVE SE STE 700
CHARLESTON, WV 25304
Nurse Practitioner (Family)
3100 MACCORKLE AVE SE STE 700
CHARLESTON, WV 25304
Nurse Practitioner (Family)
3100 MACCORKLE AVE SE STE 700
CHARLESTON, WV 25304

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 Tucker Morris's NPI number?

The NPI number for Tucker Morris is 1689461105. It was assigned to this individual provider in the NPPES registry on April 21, 2025.

Where is Tucker Morris located?

Tucker Morris practices at 3100 Maccorkle Ave SE Ste 700, Charleston, WV 25304. The listed phone number is (304) 351-1600.

What is Tucker Morris's specialty?

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

Is Tucker Morris enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tucker Morris was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.