Active NPI
Reggie Tucker
- Driver
- Carlisle, SC
National Provider Identifier
1285454694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 007865475
- Practice address
- 3120 Berry Farm Rd
Carlisle, SC 29031-9242 - Phone
- (803) 477-2564
- NPI assigned
- Oct 11, 2024
- Last updated
- Oct 11, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | 007865475 | SC | Primary |
Addresses
Primary practice location
3120 Berry Farm Rd
Carlisle, SC 29031-9242
Mailing address
3120 Berry Farm Rd
Carlisle, SC 29031-9242
Phone (803) 477-2564
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 |
|---|---|---|---|
| 007865475 | SC | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Xpress Transportation LLC | Driver | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1285454694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3120 BERRY FARM RD",
"city": "CARLISLE",
"state": "SC",
"postal_code": "290319242",
"telephone_number": "803-477-2564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 BERRY FARM RD",
"city": "CARLISLE",
"state": "SC",
"postal_code": "290319242",
"telephone_number": "803-477-2564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "REGGIE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-11",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "SC",
"license": "007865475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlisle, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.