Beth Tucker Perdue, RN, CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

RN089977 Issued in GA

Practice address

4750 Waters Ave Ste 108
Savannah, GA 31404

Phone

(912) 350-6543

Fax

(912) 350-7690

NPI assigned

Jun 4, 2014

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

Other identifiers 2

Other names 1

• Stacy Beth Tucker Perdue Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1124431531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 WATERS AVE STE 108",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046267",
            "telephone_number": "912-350-6543",
            "fax_number": "912-350-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 WATERS AVE STE 108",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31404",
            "telephone_number": "912-350-6543",
            "fax_number": "912-350-7690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Waters Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314046220",
            "country_code": "US",
            "telephone_number": "912-350-8180",
            "fax_number": "912-350-5697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5002 Waters Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314046226",
            "country_code": "US",
            "telephone_number": "912-350-8180",
            "fax_number": "912-350-5697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5002 Waters Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "31404",
            "country_code": "US",
            "telephone_number": "912-350-8180",
            "fax_number": "912-350-5697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5002 Waters Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "31404",
            "country_code": "US",
            "telephone_number": "912-350-8180",
            "fax_number": "912-350-5697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERDUE",
        "first_name": "BETH",
        "middle_name": "TUCKER",
        "credential": "RN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN089977",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "GA",
            "license": "RN089977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003147133A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01333776",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "TUCKER PERDUE",
            "middle_name": "BETH",
            "credential": "RN, CDE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary Elizabeth Pennington, PTA
• Jenny Pennino, RN
• Karen C Penrose, NP
• Charlotte Clark Penter, MD
• Lana Marie Peralta, APRN, AGACNP-BC
• Jay Perdue, PHARM D
• Scott Patrick Perdue, PA-AA
• Carly Bevins Perez, MLT (ASCP)
• Fernando J Perez, MD
• Julie Perez, LPC

• Diabetes Educator Registered Nurse in Savannah, GA
• Providers in Savannah, GA by specialty
• Diabetes Educator Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.