Active NPI
Melba Elisha Tuck
- Respite Care
- Tuskegee, AL
National Provider Identifier
1255214052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- License
- 003401
- Practice address
- 3401 US Highway 80 W
Tuskegee, AL 36083 - Phone
- (334) 847-0003
- NPI assigned
- Jul 29, 2025
- 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 |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 003401 | AL | |
| Respite Care | 385H00000X | 003401 | AL | Primary |
Addresses
Primary practice location
3401 US Highway 80 W
Tuskegee, AL 36083
Mailing address
22 Savannah Cir
Hawkinsville, GA 31036-7603
Phone (404) 934-7802
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003401 | AL | MD | Respite Care |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1255214052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 SAVANNAH CIR",
"city": "HAWKINSVILLE",
"state": "GA",
"postal_code": "310367603",
"telephone_number": "404-934-7802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 US HIGHWAY 80 W",
"city": "TUSKEGEE",
"state": "AL",
"postal_code": "36083",
"telephone_number": "334-847-0003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCK",
"first_name": "MELBA",
"middle_name": "ELISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-29",
"last_updated": "2025-07-29",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "AL",
"license": "003401",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "AL",
"license": "003401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuskegee, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.