Active NPI
Ericka Ilene Tucker, M.S.CCC-A
- Audiologist
- Alpharetta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2537
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2537 | CA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Princeton Eye & Ear LLC | Current | Accepting new patients | |
| Eastern Carolina Ear, Nose & Throat-Head & Neck Surgery, Inc | Current | Accepting new patients | |
| Mobile Hearing of Tennessee | Audiologist | Current | Accepting new patients |
| Magnolia ENT, LLC | Current | 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
- 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.
-
- Specialist
- Greenville, NC
- NPI 1912957606
NC
-
- Audiologist
- Nashville, TN
- NPI 1790153583
-
- Otolaryngology Physician
- Atlanta, GA
- NPI 1922046424
-
- Ambulatory Surgical Clinic/Center
- Alpharetta, GA
- NPI 1619004306
-
- Otolaryngology Physician
- Torrance, CA
- NPI 1356612048
-
- Physical Therapist
- Brooklyn, NY
- NPI 1467498949
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.