Individual provider Active NPI

Slavko Kukucka, M.D.

  • Urgent Care Clinic/Center
  • Rincon, GA
National Provider Identifier
1568437507
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
046877 Issued in GA
Practice address
119 Chimney Rd
Rincon, GA 31326-5541
Phone
(912) 295-5560
Fax
(912) 295-5562
NPI assigned
Feb 22, 2006
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 046877 GA Primary
Family Medicine Physician 207Q00000X 046877 GA

Addresses

Primary practice location

119 Chimney Rd
Rincon, GA 31326-5541

Mailing address

PO Box 190
Rincon, GA 31326-0190
Phone (912) 295-5560

Other practice location 1

610 Towne Park Loop
Rincon, GA 31326
Phone (912) 295-5560

Other identifiers 9

IdentifierTypeStateIssuer
52782040-008OtherGABCBS GA FOR SAVANNAH LOCATION
000843235FMedicaidGA
52782040-009OtherGABCBS/GA FOR POOLER LOCATION
GRP2837OtherGAMEDICARE GROUP ID
P00441748OtherGARR MEDICARE
582203199-009OtherGATRICARE ID
CG4057OtherGARR MEDICARE GROUP ID
G46877MedicaidSC
582203199-004OtherGATRICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20100621000746 GA Practitioner - Family Practice 3476633926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

119 Chimney Rd
Rincon, GA 31326-5541
Phone (912) 295-5560

PO Box
Suite 190
Rincon, GA 31326-5541

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rincon Medical Center Urgent Care CurrentSince Oct 1, 2009 Accepting new patients
Memorial Health Urgentone, Inc. Family Medicine Past Accepting new patients
Effingham Hospital, Inc. PastSince Jun 8, 2025 Accepting new patients

Locations

119 Chimney Rd
Rincon, GA 31326
Phone (912) 295-5560

610 Towne Park Dr W
Rincon, GA 31326

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1568437507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313260190",
            "telephone_number": "912-295-5560",
            "fax_number": "912-295-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 CHIMNEY RD",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265541",
            "telephone_number": "912-295-5560",
            "fax_number": "912-295-5562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Towne Park Loop",
            "address_purpose": "LOCATION",
            "city": "Rincon",
            "state": "GA",
            "postal_code": "31326",
            "country_code": "US",
            "telephone_number": "912-295-5560",
            "fax_number": "912-295-5562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUKUCKA",
        "first_name": "SLAVKO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GA",
            "license": "046877",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "046877",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GA FOR SAVANNAH LOCATION",
            "identifier": "52782040-008",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000843235F",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/GA FOR POOLER LOCATION",
            "identifier": "52782040-009",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "GRP2837",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00441748",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE ID",
            "identifier": "582203199-009",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP ID",
            "identifier": "CG4057",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G46877",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE ID",
            "identifier": "582203199-004",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rincon, GA

Sources for this page

Verify at the official NPI Registry.