Patrick Edwin Tucker, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

12549 Issued in MS

Practice address

2601 Getwell Rd Ste 1
Corinth, MS 38834-6762

Phone

(662) 287-7138

Fax

(662) 287-7157

NPI assigned

Jul 27, 2006

Last updated

Jul 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Physicians Urgent Care of Corinth, LLC

  dba Urgent Care of Corinth

  • General Practice Physician
  • Corinth, MS
  • NPI 1316059405
  Medicare reassignment NPD Authorized official
• Tucker Medical Management Services, LLC

  dba Tucker Integrative Medical Group

  • General Practice Physician
  • Oxford, MS
  • NPI 1992598338
  NPD Authorized official
• Physicians Urgent Care of Corinth, LLC

  • Durable Medical Equipment & Medical Supplies
  • Booneville, MS
  • NPI 1942032297
  NPD
• Physicians Urgent Care of Corinth

  dba Urgent Care of Corinth

  • Rural Health Clinic/Center
  • Corinth, MS
  • NPI 1114758372
  NPD (past)
• Physicians Urgent Care of Corinth

  dba Urgent Care of Booneville

  • Rural Health Clinic/Center
  • Booneville, MS
  • NPI 1740011907
  NPD (past)
• Physicians Urgent Care of Corinth, LLC

  • Durable Medical Equipment & Medical Supplies
  • Corinth, MS
  • NPI 1588496830
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1295749349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 GETWELL RD",
            "address_2": "STE 1",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346762",
            "telephone_number": "662-287-7138",
            "fax_number": "662-287-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 GETWELL RD STE 1",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346762",
            "telephone_number": "662-287-7138",
            "fax_number": "662-287-7157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Booneville",
            "state": "MS",
            "postal_code": "388291314",
            "country_code": "US",
            "telephone_number": "662-340-4375",
            "fax_number": "662-340-4378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "PATRICK",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MS",
            "license": "12549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00111263",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Elizabeth Trimble
• Holley Trimble
• Trivista
• Christopher E Tucker, MD
• Kate Tucker, M.S., CCC-SLP
• Twin States Infusion Clinics, LLC
• Jeffrey Allen Tyre II, MD
• Natalee Marie Tyre, MD
• Urgent Care Pharmacy, Inc.
• Urology Clinic PA

• General Practice Physician in Corinth, MS
• Providers in Corinth, MS by specialty
• General Practice Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.