Individual provider Active NPI

John A Tucker, M.D.

  • Vascular Surgery Physician
  • Pensacola, FL
National Provider Identifier
1063407567
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME69865 Issued in FL
Practice address
8333 N Davis Hwy
Floor
Pensacola, FL 32514-6050
Phone
(850) 437-3777
Fax
(850) 437-3318
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X ME69865 FL Primary
Vascular Surgery Physician 2086S0129X 00009762 AL

Addresses

Primary practice location

8333 N Davis Hwy
Floor
Pensacola, FL 32514-6050

Mailing address

8333 N Davis Hwy
10TH Floor
Pensacola, FL 32514
Phone (850) 437-3777

Other identifiers 1

IdentifierTypeStateIssuer
251301300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080930000185 FL Practitioner - Vascular SurgeryPractitioner - General Surgery 8820165053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of Alabama School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nautilus Health Care Group LLCGroup PAC ID 5991604852, 51 clinicians

Practice addresses (Care Compare)

1120 Pinellas Bayway S
Suite 200
Tierra Verde, FL 33715-1505
Phone (727) 867-5480

1549 Airport Blvd
Suite 320
Pensacola, FL 32504-8635
Phone (850) 416-2500

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Pensacola, FL, CCN 108309
  • Centerwell Home Health Home health agency, Pensacola, FL, CCN 107792
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093
  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1479
Removal of skin lesions147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00009762ALMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BMR Anesthesia PLLC CurrentSince Feb 23, 2021 Accepting new patients
Nautilus Health Care Group LLC CurrentSince Sep 1, 2020 Accepting new patients
Nautilus Health Care Group, LLC CurrentSince Sep 1, 2020 Accepting new patients
Advanced Wound Systems LLC Past Accepting new patients
The Surgery Group PA Past Accepting new patients

Locations

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

1549 Airport Blvd
Ste 320
Pensacola, FL 32504
Phone (850) 416-2500

1851 N 9th Ave
Ste B
Pensacola, FL 32503
Phone (850) 479-4223

1502 Creighton Rd
Ste A
Pensacola, FL 32504
Phone (850) 437-3777

1120 Pinellas Bayway S
Ste 200
Tierra Verde, FL 33715
Phone (727) 867-5480

Interoperability endpoints

  • Direct secure messaging: jtucker@tucker.mdlogic.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1063407567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 N DAVIS HWY",
            "address_2": "10TH FLOOR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32514",
            "telephone_number": "850-437-3777",
            "fax_number": "850-437-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 N DAVIS HWY",
            "address_2": "FLOOR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146050",
            "telephone_number": "850-437-3777",
            "fax_number": "850-437-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME69865",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AL",
            "license": "00009762",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251301300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.