Individual provider Active NPI

Kyle L Tucci, NP

  • Nurse Practitioner
  • Sharpsburg, GA
National Provider Identifier
1063850485
Registry record updated Dec 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
005898 Issued in GA
Practice address
3345 Highway 34 E Unit 101
Sharpsburg, GA 30277-3563
Phone
(404) 251-2180
NPI assigned
Jun 7, 2013
Last updated
Dec 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F337978 NY
Family Nurse Practitioner 363LF0000X RN306408 GA
Nurse Practitioner 363L00000X 005898 GA Primary
Registered Nurse 163W00000X 577950 NY

Addresses

Primary practice location

3345 Highway 34 E Unit 101
Sharpsburg, GA 30277-3563

Mailing address

3345 Highway 34 E Unit 101
Sharpsburg, GA 30277-3563

Other identifiers 1

IdentifierTypeStateIssuer
03619789MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131204001175 NY Practitioner - Nurse Practitioner 8224264890 Reassigns benefits to 2 organizations
I20220210000789 GA Practitioner - Nurse Practitioner 8224264890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emory Specialty Associates, LLCGroup PAC ID 3476559782, 706 clinicians

Practice addresses (Care Compare)

1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone (404) 728-6812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
577950NYMDRegistered Nurse
005898GAMDNurse Practitioner
F337978NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in CurrentSince Mar 5, 2019 Accepting new patients
Department of Medicine Medical Service Group CurrentSince Mar 5, 2019 Accepting new patients
Emory Specialty Associates, LLC CurrentSince Jan 10, 2022 Accepting new patients
St Josephs Medical PC CurrentSince Dec 1, 2016 Accepting new patients
North Medical PC Current Accepting new patients

Locations

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889

3345 Highway 34 E
#101
Sharpsburg, GA 30277
Phone (770) 502-8005

6221 State Route 31
Ste 10
Cicero, NY 13039

6221 State Route 31
Ste 104
Cicero, NY 13039
Phone (315) 698-4888

4507 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 637-7100

510 Towne Dr
Fayetteville, NY 13066
Phone (315) 637-4747

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

5100 W Taft Rd
Ste 4J
Liverpool, NY 13088
Phone (315) 701-2170

5112 W Taft Rd
Ste J
Liverpool, NY 13088
Phone (315) 701-2170

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766880000000",
    "number": "1063850485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 HIGHWAY 34 E UNIT 101",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302773563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 HIGHWAY 34 E UNIT 101",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302773563",
            "telephone_number": "404-251-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCCI",
        "first_name": "KYLE",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2025-12-28",
        "certification_date": "2025-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F337978",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN306408",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "005898",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "577950",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03619789",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharpsburg, GA

Sources for this page

Verify at the official NPI Registry.