Active NPI
Eric D. Tucker, PAAA
- Anesthesiologist Assistant
- Atlanta, GA
National Provider Identifier
1558358820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 2251
- Practice address
- 1000 Johnson Ferry Road
Atlanta, GA 30342 - Phone
- (770) 645-9181
- Fax
- (770) 645-8455
- NPI assigned
- Oct 3, 2005
- Last updated
- Sep 29, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 2251 | GA | Primary |
Addresses
Primary practice location
1000 Johnson Ferry Road
Atlanta, GA 30342
Mailing address
3155 N Point Pkwy
Attn: Credentialing Dept, Building F, Suite 100
Alpharetta, GA 30005
Phone (770) 645-9181
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100000368I | Medicaid | GA | |
| P00353064 | Other | RAILROAD MEDICARE | |
| 100000368H | Medicaid | GA | |
| 100000368B | Medicaid | GA | |
| 100000368G | Medicaid | GA | |
| 100000368A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2251 | GA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skyline EMS LLC | Current | Accepting new patients | |
| Ambulatory Anesthesia of Atlanta, P C | Past | Accepting new patients | |
| Capitol Anesthesiology, PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Ambulance
- Atlanta, GA
- NPI 1881162451
-
- Anesthesiology Physician
- Marietta, GA
- NPI 1164418489
-
- Anesthesiology Physician
- Morrow, GA
- NPI 1245287192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1558358820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3155 N POINT PKWY",
"address_2": "ATTN: CREDENTIALING DEPT, BUILDING F, SUITE 100",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "30005",
"telephone_number": "770-645-9181",
"fax_number": "770-645-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 JOHNSON FERRY ROAD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30342",
"telephone_number": "770-645-9181",
"fax_number": "770-645-8455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "ERIC",
"middle_name": "D.",
"credential": "PAAA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-03",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "2251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100000368I",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00353064",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100000368H",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100000368B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100000368G",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100000368A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.