Individual provider Active NPI

Nancy P Tucker, AUD

  • Audiologist
  • Greenway, SC
National Provider Identifier
1578720868
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
3171 Issued in SC
Practice address
115 Halton Village Circle
Greenway, SC 29607-6825
Phone
(864) 281-9440
Fax
(864) 281-9443
NPI assigned
May 22, 2008
Last updated
Jun 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 3171 SC Primary

Addresses

Primary practice location

115 Halton Village Circle
Greenway, SC 29607-6825

Mailing address

115 Halton Village Circle
Greenway, SC 29607-6825
Phone (864) 281-9440

Other identifiers 3

IdentifierTypeStateIssuer
GP4505MedicaidSC
7844OtherSCMEDICARE
SA0369MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080730000188 SC Practitioner - Qualified Audiologist 1557435203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1095 Iron Ore Rd
Spartanburg, SC 29303-2239
Phone (864) 582-2900

2755 S Hwy 14
Suite 2400
Greer, SC 29650-4940
Phone (864) 582-2900

Merit-based Incentive Payment System (MIPS)

Final score
93.43 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3171SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Ear Nose & Throat, Gaffney Office CurrentSince Nov 10, 2020 Accepting new patients
Spartanburg Ear Nose & Throat, Head & Neck Surgery PA CurrentSince Apr 9, 2023 Accepting new patients
St Francis Physician Services Inc Past Accepting new patients

Locations

2755 S Highway 14
Ste 2400
Greer, SC 29650
Phone (864) 582-2900

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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1578720868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 HALTON VILLAGE CIRCLE",
            "city": "GREENWAY",
            "state": "SC",
            "postal_code": "296076825",
            "telephone_number": "864-281-9440",
            "fax_number": "864-281-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HALTON VILLAGE CIRCLE",
            "city": "GREENWAY",
            "state": "SC",
            "postal_code": "296076825",
            "telephone_number": "864-281-9440",
            "fax_number": "864-281-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "NANCY",
        "middle_name": "P",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "3171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4505",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "7844",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0369",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.