Individual provider Active NPI

Ericka Ilene Tucker, M.S.CCC-A

  • Audiologist
  • Alpharetta, GA
National Provider Identifier
1265670988
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2537 Issued in CA
Practice address
2365 Old Milton Pkwy
Suite 200
Alpharetta, GA 30009-2140
Phone
(678) 825-2469
NPI assigned
Feb 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2537 CA Primary

Addresses

Primary practice location

2365 Old Milton Pkwy
Suite 200
Alpharetta, GA 30009-2140

Mailing address

2365 Old Milton Pkwy
Suite 200
Alpharetta, GA 30009-2140
Phone (678) 825-2469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN, NJ, NC, CA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20140702002068 GA Practitioner - Qualified Audiologist 1759376023 Reassigns benefits to 1 organization
I20230117000483 TN Practitioner - Qualified Audiologist 1759376023 Reassigns benefits to 1 organization
I20250325002112 NJ Practitioner - Qualified Audiologist 1759376023 Reassigns benefits to 1 organization
I20250429002736 NC Practitioner - Qualified Audiologist 1759376023 Reassigns benefits to 1 organization
I20260601003211 CA Practitioner - Qualified Audiologist 1759376023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnolia ENT, LLCGroup PAC ID 3779021118, 12 clinicians

Practice addresses (Care Compare)

1000 Commerce Dr
Suite 200
Peachtree City, GA 30269-3520
Phone (470) 489-0090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2537CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Eye & Ear LLC CurrentSince Feb 1, 2025 Accepting new patients
Eastern Carolina Ear, Nose & Throat-Head & Neck Surgery, Inc CurrentSince Mar 19, 2025 Accepting new patients
Mobile Hearing of Tennessee Audiologist CurrentSince Dec 5, 2022 Accepting new patients
Magnolia ENT, LLC CurrentSince Sep 1, 2024 Accepting new patients
Beach Cities Ents Past Accepting new patients
ENT of Georgia, LLC Past Accepting new patients
MZS Physical Therapy PLLC Past Accepting new patients
Milton Hall Surgery Center Past Accepting new patients

Locations

1015 Lafayette Pkwy
Ste 130
Lagrange, GA 30241
Phone (470) 489-0090

1595 Highway 34 E
Newnan, GA 30265
Phone (678) 206-2202

1000 Commerce Dr
Ste 200
Peachtree Cty, GA 30269
Phone (470) 489-0090

1365 Rock Quarry Rd
Ste 300
Stockbridge, GA 30281
Phone (470) 489-0090

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

850 Johns Hopkins Dr
Greenville, NC 27834
Phone (252) 752-5227

2999 Princeton Pike
Ste 2
Lawrenceville, NJ 08648
Phone (609) 403-8840

10055 Rhea County Hwy
Dayton, TN 37321
Phone (423) 847-6777

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1265670988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 OLD MILTON PKWY",
            "address_2": "SUITE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092140",
            "telephone_number": "678-825-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 OLD MILTON PKWY",
            "address_2": "SUITE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092140",
            "telephone_number": "678-825-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "ERICKA",
        "middle_name": "ILENE",
        "credential": "M.S.CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-03",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "2537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.