Individual provider Active NPI

Andrew Tucker, MD

  • Obstetrics & Gynecology Physician
  • Savannah, GA
National Provider Identifier
1831162767
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
055706 Issued in GA
Practice address
5354 Reynolds Street
Suite 422
Savannah, GA 31405
Phone
(912) 354-2634
Fax
(912) 354-8375
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 55706 GA
Obstetrics & Gynecology Physician 207V00000X 055706 GA Primary

Addresses

Primary practice location

5354 Reynolds Street
Suite 422
Savannah, GA 31405

Mailing address

836 E. 65TH Street
Suite 22
Savannah, GA 31405
Phone (912) 819-7878

Other identifiers 1

IdentifierTypeStateIssuer
82-2647012OtherGAIRS TAX 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
I20050415000008 GA Practitioner - Obstetrics/Gynecology 9739126418 Reassigns benefits to 1 organization
Practice locations: Savannah, GA

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Georgetown University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Joseph'S/Candler OB/GYN Practice, LLCGroup PAC ID 4385909936, 22 clinicians

Practice addresses (Care Compare)

5353 Reynolds St
Savannah, GA 31405-6015

5354 Reynolds St
Savannah, GA 31405-6009

5354 Reynolds St
Suite 315
Savannah, GA 31405-6007

5354 Reynolds St
Suite 315
Savannah, GA 31405-6010
Phone (912) 354-2634

5354 Reynolds St
Suite 422
Savannah, GA 31405-6011
Phone (912) 355-5593

5354 Reynolds St
Suite 518
Savannah, GA 31405-6012
Phone (912) 819-9650

602 E 72ND St
Savannah, GA 31405-4913

836 E 65TH St
Suite 22
Savannah, GA 31405-4493

Hospital & facility affiliations

  • Candler Hospital Hospital, Savannah, GA, CCN 110024
  • St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043
  • Savannah Health Services LLC Dba Memorial Health University Medical Center Hospital, Savannah, GA, CCN 110036
  • Effingham Health System Hospital, Springfield, GA, CCN 111306

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055706GAMDObstetrics & Gynecology Physician
55706GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S/Candler OB/GYN Practice, LLC Obstetrics & Gynecology CurrentSince Apr 1, 2018 Accepting new patients
Karen L Fehr Dalessandromdpc Past Accepting new patients
Savannah Rheumatology Associates, PC Past Accepting new patients
Candler Hospital Incorporated Past Accepting new patients

Locations

5354 Reynolds St
Ste 214
Savannah, GA 31405
Phone (912) 354-2634

836 E 65th St
Ste 22
Savannah, GA 31405
Phone (912) 819-7878

5354 Reynolds St
Ste 222
Savannah, GA 31405
Phone (912) 692-1080

602 E 72nd St
Savannah, GA 31405
Phone (912) 819-7800

5354 Reynolds St
Ste 315
Savannah, GA 31405
Phone (912) 354-2634

5354 Reynolds St
Ste 422
Savannah, GA 31405
Phone (912) 354-2634

Interoperability endpoints

  • Direct secure messaging: andrew.tucker@sjcobgyn.eclinicaldirectplus.com
  • Direct secure messaging: drtuck@direct.sjchs.org

Organizations & group practices 4

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 4

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1831162767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 E. 65TH STREET",
            "address_2": "SUITE 22",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-819-7878",
            "fax_number": "912-819-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 REYNOLDS STREET",
            "address_2": "SUITE 422",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-354-2634",
            "fax_number": "912-354-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "55706",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "055706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS TAX ID",
            "identifier": "82-2647012",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.