Active NPI
Slavko Kukucka, M.D.
- Urgent Care Clinic/Center
- Rincon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 046877
- 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, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52782040-008 | Other | GA | BCBS GA FOR SAVANNAH LOCATION |
| 000843235F | Medicaid | GA | |
| 52782040-009 | Other | GA | BCBS/GA FOR POOLER LOCATION |
| GRP2837 | Other | GA | MEDICARE GROUP ID |
| P00441748 | Other | GA | RR MEDICARE |
| 582203199-009 | Other | GA | TRICARE ID |
| CG4057 | Other | GA | RR MEDICARE GROUP ID |
| G46877 | Medicaid | SC | |
| 582203199-004 | Other | GA | TRICARE 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
Enrollment records 1
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rincon Medical Center | Urgent Care | Current | Accepting new patients |
| Memorial Health Urgentone, Inc. | Family Medicine | Past | Accepting new patients |
| Effingham Hospital, Inc. | Past | Accepting new patients |
Locations
119 Chimney Rd
Rincon, GA 31326
Phone (912) 295-5560
610 Towne Park Dr W
Rincon, GA 31326
Interoperability endpoints
- 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.
-
- Urgent Care Clinic/Center
- Rincon, GA
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dba UrgentOne Savannah Mall
- Emergency Medicine Physician
- Savannah, GA
- NPI 1801818844
Family Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.