Active NPI
Andrew Tucker, MD
- Obstetrics & Gynecology Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 055706
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82-2647012 | Other | GA | IRS 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
Enrollment records 1
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
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
- St Joseph'S Hospital - Savannah
- Savannah Health Services LLC Dba Memorial Health University Medical Center
- Effingham Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055706 | GA | MD | Obstetrics & Gynecology Physician |
| 55706 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S/Candler OB/GYN Practice, LLC | Obstetrics & Gynecology | Current | 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
- andrew.tucker@sjcobgyn.eclinicaldirectplus.com
- 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.
-
- Obstetrics & Gynecology Physician
- Savannah, GA
- NPI 1730690561
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1275527889
-
- Specialist
- Savannah, GA
- NPI 1689843641
-
- Rheumatology Physician
- Savannah, GA
- NPI 1184725848
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1275527889
-
- Critical Access Hospital
- Springfield, GA
- NPI 1811962756
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1063406684
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.