Individual provider Active NPI

Darrell Tuck, NP

  • Nurse Practitioner
  • Gastonia, NC
National Provider Identifier
1073243572
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5020842 Issued in NC
Practice address
1860 W Franklin Blvd
Gastonia, NC 28052-1468
Phone
(704) 396-7143
Fax
(980) 305-5123
NPI assigned
Jun 16, 2022
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 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 5020842 NC Primary
Nurse Practitioner 363L00000X 1082583 TX
Registered Nurse 163W00000X 282834 NC
Registered Nurse 163W00000X 1082583 TX

Addresses

Primary practice location

1860 W Franklin Blvd
Gastonia, NC 28052-1468

Mailing address

PO Box 746724
Atlanta, GA 30374-6724
Phone (919) 691-2555

Other practice location 1

1950 Ephriham Ave
Fort Worth, TX 76164-6670
Phone (817) 380-9164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 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
I20220908001755 TX Practitioner - Nurse Practitioner 3678957701 Reassigns benefits to 1 organization
I20250102003162 NC Practitioner - Nurse Practitioner 3678957701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh Mi Physicians Group, PCGroup PAC ID 7810282191, 154 clinicians

Practice addresses (Care Compare)

1860 W Franklin Blvd
Gastonia, NC 28052-1468
Phone (704) 396-7143

3250 Freedom Dr
Charlotte, NC 28208-2817
Phone (704) 709-6009

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
282834NCMDRegistered Nurse
1082583TXMDRegistered Nurse
5020842NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-Mi Physicians Group PC CurrentSince Oct 14, 2024 Accepting new patients
Oak Street Health of Texas, PLLC Nurse Practitioner CurrentSince Sep 6, 2022 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Oct 14, 2024 Accepting new patients

Locations

3250 Freedom Dr
Charlotte, NC 28208
Phone (704) 394-0118

1860 W Franklin Blvd
Gastonia, NC 28052
Phone (704) 396-7143

2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071

1950 Ephriham Ave
Fort Worth, TX 76164
Phone (817) 813-7075

4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370

3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358

2928 N Belt Line Rd
Irving, TX 75062
Phone (214) 307-7786

2115 S Broadway Ave
Tyler, TX 75701
Phone (903) 907-7002

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1073243572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746724",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746724",
            "telephone_number": "919-691-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 W FRANKLIN BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280521468",
            "telephone_number": "704-396-7143",
            "fax_number": "980-305-5123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 Ephriham Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761646670",
            "country_code": "US",
            "telephone_number": "817-380-9164",
            "fax_number": "817-764-0656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCK",
        "first_name": "DARRELL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-16",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5020842",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1082583",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "282834",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1082583",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.