Individual provider Active NPI

Virginia Marie Tucker, FNP

  • Family Nurse Practitioner
  • Evans, GA
National Provider Identifier
1679040240
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN165646 Issued in GA
Practice address
447 N Belair Rd Ste 101
Evans, GA 30809-3091
Phone
(706) 854-2222
NPI assigned
Oct 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN165646 GA Primary

Addresses

Primary practice location

447 N Belair Rd Ste 101
Evans, GA 30809-3091

Mailing address

3675 Horsham TRL
Dearing, GA 30808-2361
Phone (706) 564-4807

Other practice location 1

1215 W Wheeler Pkwy
Augusta, GA 30909-1899
Phone (706) 564-4807

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230626001803 GA Practitioner - Nurse Practitioner 6901264803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Professional Services LLCGroup PAC ID 8921176231, 171 clinicians

Practice addresses (Care Compare)

95 Collier Rd NW
Suite 4045
Atlanta, GA 30309-1749
Phone (404) 351-2270

Hospital & facility affiliations

  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Clinic, PC CurrentSince May 22, 2023 Accepting new patients
Piedmont Professional Services, LLC CurrentSince Feb 1, 2024 Accepting new patients
Piedmont Medical Care Corporation Past Accepting new patients

Locations

95 Collier Rd NW
Ste 4045
Atlanta, GA 30309
Phone (404) 351-2270

1861 Peeler Rd
Ste 100
Dunwoody, GA 30338
Phone (770) 730-5800

447 N Belair Rd
Ste 101
Evans, GA 30809
Phone (706) 854-2222

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

111 S Washington St
Lincolnton, GA 30817
Phone (706) 359-1115

6330 Primrose Hill Ct
Peachtree Corners, GA 30092
Phone (770) 309-8108

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1679040240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 HORSHAM TRL",
            "city": "DEARING",
            "state": "GA",
            "postal_code": "308082361",
            "telephone_number": "706-564-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 N BELAIR RD STE 101",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093091",
            "telephone_number": "706-854-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 W Wheeler Pkwy",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309091899",
            "country_code": "US",
            "telephone_number": "706-564-4807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "VIRGINIA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN165646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.