Active NPI
Maggie C Tucker, RN
- Pediatric Nurse Practitioner
- Cartersville, GA
National Provider Identifier
1194501742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN-NP299681
- Practice address
- 200 Gentilly Blvd Ste 1300
Cartersville, GA 30120-8504 - Phone
- (470) 490-6860
- NPI assigned
- Sep 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN299681 | GA | |
| Pediatric Nurse Practitioner | 363LP0200X | APRN-NP299681 | GA | Primary |
Addresses
Primary practice location
200 Gentilly Blvd Ste 1300
Cartersville, GA 30120-8504
Mailing address
42 Falcon CV
Dallas, GA 30132-6622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN299681 | GA | MD | Registered Nurse |
| APRN-NP299681 | GA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1194501742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 FALCON CV",
"city": "DALLAS",
"state": "GA",
"postal_code": "301326622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GENTILLY BLVD STE 1300",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301208504",
"telephone_number": "470-490-6860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "MAGGIE",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-07",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN299681",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "GA",
"license": "APRN-NP299681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.