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MR. CHARLES THOMAS TUCKER MD
NPI 1831204478
Internal Medicine - Nephrology in Jesup, GA

Active since August 21, 2006
111 COLONIAL WAY STE 2, JESUP, GA 31545(912) 588-1919(912) 588-1919 Get Directions Write a Review

NPPES record last updated: January 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Charles Thomas Tucker Md NPPES

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

MR. CHARLES THOMAS TUCKER MD (NPI 1831204478) is an individual nephrology provider in Jesup, Georgia, licensed in Georgia (026402) and active in the NPI registry since August 2006. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1831204478
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMR. CHARLES THOMAS TUCKERCredential: MD
Location Address111 COLONIAL WAY STE 2Jesup, GA 31545-0132
Mailing Address208 Scranton Connector, Suite 117Brunswick, GA 31525-0559 · (912) 264-5961 · Fax (912) 262-9499
Phone(912) 588-1919
Fax(912) 588-1919
Sole ProprietorYes
Enumeration DateAugust 21, 2006
Last NPPES UpdateJanuary 16, 2020
✔ NPI 1831204478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in GA · 026402
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
111 COLONIAL WAY STE 2, Jesup, GA 31545
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Secondary Practice Locations 2

Location 1208 Scranton Connector, Suite 117Brunswick, GA 31525-0559 · Phone (912) 264-5961 · Fax (912) 262-9499
Location 23025 Shrine Rd Ste 450Brunswick, GA 31520-4787 · Phone (912) 264-6133 · Fax (912) 267-1415

Other Identifiers 5

OtherN363398GA · Wellcare
Medicaid000291079AGA
Other01035667GA · Amerigroup
Other390004393GA · Railroad Medicare
Other616370GA · Blue Shield

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.

NEPHROLOGY & HYPERTENSION MEDICAL ASSOCIATES, PC
Internal Medicine (Nephrology)
111 COLONIAL WAY STE 2
JESUP, GA 31545
Wayne County (912) 588-1919
NEPHROLOGY AND HYPERTENSION MEDICAL ASSOCIATES PC
Specialist
111 COLONIAL WAY STE 2
JESUP, GA 31545
Wayne County (912) 588-1919

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 Charles Tucker's NPI number?

The NPI number for Charles Tucker is 1831204478. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Charles Tucker located?

Charles Tucker practices at 111 Colonial Way Ste 2, Jesup, GA 31545. The listed phone number is (912) 588-1919.

What is Charles Tucker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Charles Tucker was last updated on January 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.