JASON DAVID TUCKER MD
NPI 1689839813
Podiatrist - Sports Medicine in Charlotte, NC

Q: What is Jason Tucker's NPI number?

The NPI number for Jason Tucker is 1689839813. It was assigned to this individual provider in the NPPES registry on July 28, 2008.

Q: What is Jason Tucker's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Sports Medicine, with taxonomy code 213ES0000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Tucker was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 28, 2008

12312 COPPER WAY, SUITE 200, CHARLOTTE, NC 28277(980) 859-2340(844) 830-8115 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jason David Tucker Md NPPES

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

JASON DAVID TUCKER MD (NPI 1689839813) is an individual sports medicine provider in Charlotte, North Carolina, licensed in North Carolina (01109) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1689839813

Entity TypeIndividualMale

Primary Taxonomy213ES0000X

Provider Legal NameJASON DAVID TUCKERCredential: MD

Location Address12312 COPPER WAY, SUITE 200Charlotte, NC 28277-3386

Mailing Address12312 Copper Way, Suite 200Charlotte, NC 28277-3386 · (980) 859-2340 · Fax (844) 830-8115

Phone(980) 859-2340

Fax(844) 830-8115

Sole ProprietorYes

Enumeration DateJuly 28, 2008

Last NPPES UpdateNovember 3, 2016

✔ NPI 1689839813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Sports MedicinePodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0000X

License✔ Licensed in NC · 01109

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 0101249850 (VA)

12312 COPPER WAY, Charlotte, NC 28277

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Other Providers at the Same Location NPPES

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

VINITA PATEL DMD

Dentist

12312 COPPER WAY, STE. 202
CHARLOTTE, NC 28277

Mecklenburg County (704) 200-2948

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 Jason Tucker's NPI number?

The NPI number for Jason Tucker is 1689839813. It was assigned to this individual provider in the NPPES registry on July 28, 2008.

Where is Jason Tucker located?

Jason Tucker practices at 12312 Copper Way Suite 200, Charlotte, NC 28277. The listed phone number is (980) 859-2340.

What is Jason Tucker's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Sports Medicine, with taxonomy code 213ES0000X.

When was this NPI record last updated?

The NPPES record for Jason Tucker was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.