Individual provider Active NPI

Syreeta Alston Tucker, M.D.

  • Obstetrics & Gynecology Physician
  • Oxford, NC
National Provider Identifier
1427285691
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2013-01118 Issued in NC
Practice address
1209 SE Industry Dr
Oxford, NC 27536
Phone
(252) 492-8576
Fax
(252) 492-7464
NPI assigned
Jun 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2013-01118 NC Primary

Addresses

Primary practice location

1209 SE Industry Dr
Oxford, NC 27536

Mailing address

PO Box 1541
Oxford, NC 27565-1541
Phone (252) 492-8576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20130729000096 NC Practitioner - Obstetrics/Gynecology 0749421154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Brody School of Medicine at East Carolina University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uwh of the Carolinas PLLCGroup PAC ID 0042448169, 329 clinicians

Practice addresses (Care Compare)

4414 Lake Boone TRL
Suite 300
Raleigh, NC 27607-7514
Phone (919) 781-5510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Maria Parham Physician Practices, LLC CurrentSince Apr 1, 2015 Accepting new patients
DLP Maria Parham Physician Practices LLC CurrentSince Apr 1, 2015 Accepting new patients
Uwh of the Carolinas, PLLC Obstetrics & Gynecology CurrentSince Aug 1, 2017 Accepting new patients
Whap, PA Obstetrics & Gynecology Past Accepting new patients

Locations

511 Ruin Creek Rd
Ste 101
Henderson, NC 27536
Phone (252) 436-0440

120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773

200 Perimeter Park Dr
Ste B
Morrisville, NC 27560
Phone (919) 334-0150

1209 SE Industry Dr
Oxford, NC 27565
Phone (252) 492-8576

4414 Lake Boone Trl
Ste 311
Raleigh, NC 27607
Phone (919) 781-7450

4414 Lake Boone Trl
Ste 407
Raleigh, NC 27607
Phone (919) 341-0915

4414 Lake Boone Trl
Ste 309
Raleigh, NC 27607
Phone (919) 232-6896

4414 Lake Boone Trl
Ste 300
Raleigh, NC 27607
Phone (919) 781-5510

1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632

Interoperability endpoints

  • Direct secure messaging: syreeta.tucker.1@7773.direct.athenahealth.com

Organizations & group practices 4

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": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1427285691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1541",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275651541",
            "telephone_number": "252-492-8576",
            "fax_number": "252-492-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 SE INDUSTRY DR",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "27536",
            "telephone_number": "252-492-8576",
            "fax_number": "252-492-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "SYREETA",
        "middle_name": "ALSTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2013-01118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, NC

Sources for this page

Verify at the official NPI Registry.