Cortez Authur Tucker, M. D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

41806 Issued in TN

Practice address

1803 E Main St
Humboldt, TN 38343-2921

Phone

(731) 784-1975

Fax

(731) 784-1245

NPI assigned

Sep 26, 2006

Last updated

Jul 27, 2012By 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 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Gave Corporation

  dba Physicians At Home

  • Adult Medicine Physician
  • Hallandale, FL
  • NPI 1841235553
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1295836625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 E MAIN ST",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383432921",
            "telephone_number": "731-784-1975",
            "fax_number": "731-784-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 E MAIN ST",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383432921",
            "telephone_number": "731-784-1975",
            "fax_number": "731-784-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "CORTEZ",
        "middle_name": "AUTHUR",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TN",
            "license": "41806",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TN",
            "license": "41806",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "41806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300491",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4226226",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Top Flight Medical Group
• Jessica Torres
• Total Renal Care Inc
• Thomas J Trinidad, O.T
• Lori Tubbs
• Unbridled Hope Counseling, LLC
• Dustin Kyle Utley, OD
• Terronica Verser
• Mary Elizabeth Via, SLP
• Volunteer Home Care, Inc.

• Internal Medicine Physician in Humboldt, TN
• Providers in Humboldt, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.