Tucker Medical Center P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34211 Issued in GA

Legal business name

TUCKER MEDICAL CENTER P.C.

Practice address

4445 Cowan Rd
Tucker, GA 30084-4829

Phone

(770) 938-0275

Fax

(770) 939-6225

NPI assigned

Mar 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. John L Oprysko, D.O.NPI 1700849874

Title

President

Phone

(770) 938-0275

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23796/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John L Oprysko, D.O.

  • Family Medicine Physician
  • Tucker, GA
  • NPI 1700849874
  NPD Authorized official

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1235403353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 COWAN RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844829",
            "telephone_number": "770-938-0275",
            "fax_number": "770-939-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 COWAN RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844829",
            "telephone_number": "770-938-0275",
            "fax_number": "770-939-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKER MEDICAL CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "OPRYSKO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-938-0275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "34211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tucker Chiropractic Associates Incorporated
• Tucker Family Practice, L.L.C.
• Tucker Health Care LLC
• Tucker Internal Medicine, LLC
• Tucker Investments & Associates LLC
• Tucker Neck and Back, LLC
• Tucker Operating Company LLC
• Tucker Operating Group LLC
• Tucker Park Crossing of Journey LLC
• Tucker Pharmacy LLC

• Family Medicine Physician in Tucker, GA
• Providers in Tucker, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.