Angelique Pauleen Tucker, D.O. – Pediatrics Physician

Key facts

NPI: 1063975233
Entity type: Individual (NPI type 1)
Primary specialty: Pediatrics Physician 208000000X
License: 114568 (GA)
Practice address: 13570 N Main St
Trenton, GA 30752-2012
Phone: (706) 956-2665
Fax: (706) 657-2958
NPI assigned: Apr 12, 2019
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Harris Medical Services, LLC Pediatrics Physician · Chattanooga, TN · NPI 1962778423

NPD (past) PEDIATRICS

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Osteopathy

State licenses

License	State	Type	Specialty
0399R	TN	MD	Pediatrics Physician

Practice roles

Organization	Specialty	Status	New patients
Harris Medical Services, LLC	Pediatrics	Past since Jan 5, 2025	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatrics Physician	208000000X	114568	GA	Yes
Student in an Organized Health Care Education/Training Program	390200000X

Addresses

Primary practice location

13570 N Main St
Trenton, GA 30752-2012

Mailing address

13570 N Main St
Trenton, GA 30752-2012
Phone (706) 956-2665

Other providers in Trenton, GA

All providers in Trenton, GA · Pediatrics Physician in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.