Lynn Moore Tucker, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

041695 Issued in GA

Practice address

2728 Sunset Blvd
Suite 104
West Columbia, SC 29169-4840

Phone

(803) 939-2722

Fax

(803) 939-2723

NPI assigned

Jul 11, 2005

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Lexington County Health Services District, Inc.

  • Radiology Clinic/Center
  • Columbia, SC
  • NPI 1811922164
  NPD (past)
• Lexington County Health Services District, Inc.

  • Surgery Physician
  • West Columbia, SC
  • NPI 1982637732
  NPD (past)
• Charles G.McClure,M.D.,PC

  • Neurology Physician
  • Augusta, GA
  • NPI 1841472180
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1528066909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 SUNSET BLVD",
            "address_2": "SUITE 104",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694840",
            "telephone_number": "803-939-2722",
            "fax_number": "803-939-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 SUNSET BLVD",
            "address_2": "SUITE 104",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694840",
            "telephone_number": "803-939-2722",
            "fax_number": "803-939-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "LYNN",
        "middle_name": "MOORE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "041695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000721828B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G41695",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trinity Touch, LLC
• True Compounding Inc
• True Health Investors
• Adrian Tucker
• Christopher Tucker
• Shamekia Tucker
• Sunita Tulachan
• Collin Lowell Tully, M.D.
• Katherine Blume Turbeville, APRN
• Erik Turgeon, PHARMD

• Surgery Physician in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.