Active NPI
John Robert Tucker
- Audiologist
- Seneca, SC
National Provider Identifier
1700721370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 8059
- Practice address
- 105 Carter Park Dr Ste B
Seneca, SC 29678-1152 - Phone
- (864) 482-3122
- Fax
- (864) 482-3152
- NPI assigned
- Apr 21, 2026
- Last updated
- Jul 15, 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 8059 | SC | Primary |
Addresses
Primary practice location
105 Carter Park Dr Ste B
Seneca, SC 29678-1152
Mailing address
300 E McBee Ave Ste 300
Greenville, SC 29601-2899
Phone (864) 522-8603
Other practice location 1
200B Patewood Dr Ste 400
Greenville, SC 29615-3557
Phone (864) 454-4368
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
300 E McBee Ave
FL 4
Greenville, SC 29601-2842
300 E McBee Ave
Suite 300
Greenville, SC 29601-2899
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1700721370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE STE 300",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012899",
"telephone_number": "864-522-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 CARTER PARK DR STE B",
"city": "SENECA",
"state": "SC",
"postal_code": "296781152",
"telephone_number": "864-482-3122",
"fax_number": "864-482-3152"
}
],
"practiceLocations": [
{
"address_1": "200B Patewood Dr Ste 400",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296153557",
"country_code": "US",
"telephone_number": "864-454-4368",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUCKER",
"first_name": "JOHN",
"middle_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-21",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SC",
"license": "8059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seneca, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.