Individual provider Active NPI

Garrett Scott Tucker

  • Family Nurse Practitioner
  • Tifton, GA
National Provider Identifier
1508672940
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP292159 Issued in GA
Practice address
1909 US Highway 82 W Ste 3&4
Tifton, GA 31793-8200
Phone
(229) 445-3509
Fax
(229) 445-3513
NPI assigned
Dec 10, 2024
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP292159 GA Primary

Addresses

Primary practice location

1909 US Highway 82 W Ste 3&4
Tifton, GA 31793-8200

Mailing address

1909 US Highway 82 W Ste 3&4
Tifton, GA 31793-8200
Phone (229) 445-3509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP292159GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnect Health, Inc. CurrentSince Mar 13, 2025 Accepting new patients
Careconnect Health, Inc. CurrentSince Mar 13, 2025 Accepting new patients

Locations

510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324

1909 US Highway 82 W
Ste 34
Tifton, GA 31793
Phone (229) 445-3509

Organizations & group practices 2

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": "1733788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1508672940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 US HIGHWAY 82 W STE 3&4",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317938200",
            "telephone_number": "229-445-3509",
            "fax_number": "229-445-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 US HIGHWAY 82 W STE 3&4",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317938200",
            "telephone_number": "229-445-3509",
            "fax_number": "229-445-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "GARRETT",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-10",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP292159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tifton, GA

Sources for this page

Verify at the official NPI Registry.