Organization Active NPI

Tucker & Co. LLC

Doing business as Concierge Medical Group

  • Family Medicine Physician
  • Lake City, FL
National Provider Identifier
1083383681
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TUCKER & CO. LLC
Doing business as
Concierge Medical Group
Evoque Health
Practice address
221 SW Stonegate Ter Ste 105
Lake City, FL 32024-3463
Phone
(386) 247-3141
NPI assigned
Sep 8, 2021
Last updated
Jul 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Authorized official

Name
Megan Ann Tucker, LPNNPI 1265102891
Title
Owner
Phone
(386) 247-3141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

221 SW Stonegate Ter Ste 105
Lake City, FL 32024-3463

Mailing address

250 NW Main Blvd # 1355
Lake City, FL 32055-3380
Phone (386) 247-3141

Other practice location 1

181 E Center St
Perry, FL 32348-6410
Phone (386) 247-3141

Other practice location 2

250 NW Main Blvd # 1355
Lake City, FL 32055-3380
Phone (386) 247-3141

Other names 2

  • Concierge Medical Group Doing business as
  • Evoque Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.evoquehealth.com Direct

National Provider Directory

National Provider Directory

Locations

250 NW Main Blvd
#1355
Lake City, FL 32055
Phone (386) 247-3141

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1083383681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NW MAIN BLVD # 1355",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553380",
            "telephone_number": "386-247-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 SW STONEGATE TER STE 105",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320243463",
            "telephone_number": "386-247-3141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 E Center St",
            "address_purpose": "LOCATION",
            "city": "Perry",
            "state": "FL",
            "postal_code": "323486410",
            "country_code": "US",
            "telephone_number": "386-247-3141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 NW Main Blvd # 1355",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320553380",
            "country_code": "US",
            "telephone_number": "386-247-3141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TUCKER & CO. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-247-3141",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.evoquehealth.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "221 SW Stonegate Ter Ste 105",
            "city": "Lake City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320243463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Concierge Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Concierge Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Evoque Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.