JOHNATHON ANTONIO MONTREL TUCKER PA
NPI 1912767674
Physician Assistant in Charleston, SC

NPI Status: Active since March 20, 2024

Contact Information

4 CARRIAGE LN STE 200
CHARLESTON, SC
ZIP 29407
Phone: (843) 266-7573
Fax: (843) 266-7578

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  • Individual
  • Male
  • Physician Assistant
  • Accepts Insurance

About JOHNATHON TUCKER

This page provides the complete NPI Profile along with additional information for Johnathon Tucker, a primary care provider established in Charleston, South Carolina with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1912767674 assigned on March 2024. The practitioner's primary taxonomy code is 363A00000X with license number 5259 (SC). The provider is registered as an individual and his NPI record was last updated 2 years ago. Johnathon Tucker operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization.

NPI
1912767674
Provider Name
JOHNATHON ANTONIO MONTREL TUCKER PA
Gender
Male
Entity Type
Individual
Location Address
4 CARRIAGE LN STE 200 CHARLESTON, SC 29407
Location Phone
(843) 266-7573
Location Fax
(843) 266-7578
Mailing Address
4 CARRIAGE LN STE 200 CHARLESTON, SC 29407
Mailing Phone
(843) 266-7573
Mailing Fax
(843) 266-7578
Is Sole Proprietor?
Yes
Enumeration Date
03-20-2024
Last Update Date
03-20-2024
Code Navigator

A primary care provider (PCP) like Johnathon Tucker sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
5259
License State
SC
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

5259 (SC)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze with Atrium Health - HMO
  • Blue Direction Bronze 1 - POS
  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Expanded Bronze - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • BlueEssentials Bronze 6 - EPO
  • BlueEssentials Gold 1 - EPO
  • BlueEssentials Gold 5 - EPO
  • BlueEssentials Silver 14 - EPO
  • BlueEssentials Silver 14 + Adult Vision - EPO
  • BlueEssentials Silver 40 - EPO
  • BlueEssentials Standard Expanded Bronze - EPO
  • BlueEssentials Standard Gold - EPO
  • BlueEssentials Standard Silver - EPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded (Dental + Vision) - HMO
  • UHC Bronze Essential - HMO
  • UHC Bronze Essential- - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Standard Plus Chiro - HMO
  • UHC Gold Advantage - HMO
  • UHC Gold Advantage+ (Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded - HMO
  • UHC Gold Standard - HMO
  • UHC Gold Standard Plus Chiro - HMO
  • UHC Silver Advantage - HMO
  • UHC Silver Advantage+ (Dental + Vision) - HMO
  • UHC Silver Copay Focus $0 Indiv Med Ded - HMO
  • UHC Silver Standard - HMO
  • UHC Silver Standard- - HMO
  • UHC Silver Standard Plus Chiro - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1912767674, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 7 → 14 → 5 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 2 + 2 + 1 + 4 + 6 + 1 + 4 + 6 + 1 + 4 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1912767674.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Nurse Practitioner (Psychiatric/Mental Health)
4 CARRIAGE LN STE 200
CHARLESTON, SC 29407
Counselor (Mental Health)
4 CARRIAGE LN STE 200
CHARLESTON, SC 29407
Nurse Practitioner (Psychiatric/Mental Health)
4 CARRIAGE LN STE 200
CHARLESTON, SC 29407
Nurse Practitioner (Psychiatric/Mental Health)
4 CARRIAGE LN STE 200
CHARLESTON, SC 29407
Physician Assistant
4 CARRIAGE LN STE 200
CHARLESTON, SC 29407

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912767674, enumerated as an "individual" on March 20, 2024.

The provider is located at 4 CARRIAGE LN STE 200 CHARLESTON, SC 29407 and the phone number is (843) 266-7573.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.