Amy Leana Tucker

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN216188 Issued in GA

Practice address

1725 Electric Ave Ste 100D
Watkinsville, GA 30677-2608

Phone

(706) 518-6986

Fax

(855) 576-4188

NPI assigned

Jul 24, 2020

Last updated

Oct 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Castellum Medical Consultants LLCGroup PAC ID 3375968621, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Castellum Medical Consultants LLC

  dba Primetime Urgent Care

  • Urgent Care Clinic/Center
  • Watkinsville, GA
  • NPI 1346858255
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1073122198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 COURTLAND RD",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305493585",
            "telephone_number": "770-519-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 ELECTRIC AVE STE 100D",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306772608",
            "telephone_number": "706-518-6986",
            "fax_number": "855-576-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "AMY",
        "middle_name": "LEANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "216188",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN216188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trek Holdings Inc (Trek Prosthetics & Orthotics)
• Trinity Home Health Services (St Mary's Hospice Services)
• Trinity Home Health Services (St. Mary's Home Health Care Services)
• Trinity Home Health Services (St. Mary's Palliative Care)
• TSG Athens (Therapy Solutions of Georgia, Inc.)
• Abbey Craft Turner
• Jodi Dyer Turner, MD
• Jessica Turpin, BCBA
• Holly Amelia Turton, M.ED., NCC, APC
• Skylar Umstead

• Family Nurse Practitioner in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.