Individual provider Active NPI

James Murray Tuck Jr., MD

  • Family Medicine Physician
  • Pell City, AL
National Provider Identifier
1871687541
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10277 Issued in AL
Practice address
4010 Masters Rd
Pell City, AL 35128
Phone
(205) 884-1111
Fax
(205) 884-1114
NPI assigned
Oct 3, 2006
Last updated
Apr 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10277 AL Primary

Addresses

Primary practice location

4010 Masters Rd
Pell City, AL 35128

Mailing address

4010 Masters Rd
Pell City, AL 35128
Phone (205) 884-1111

Other identifiers 1

IdentifierTypeStateIssuer
000076443MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20110316000824 AL Practitioner - Family Practice 8325220064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians

Practice addresses (Care Compare)

20 Hazelwood Dr
Pell City, AL 35125-3382
Phone (205) 338-8008

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.43 of 100Reported as group
Quality
65.59
Improvement activities
40
Cost
64.54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10277ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Hospice Inc. Family Medicine Current Accepting new patients
Lakeside Hospice Inc. Current Accepting new patients
American Family Care, LLC CurrentSince Jan 19, 2020 Accepting new patients

Locations

4010 Masters Rd
Pell City, AL 35128
Phone (205) 884-1111

20 Hazelwood Dr
Pell City, AL 35125
Phone (205) 338-8008

Interoperability endpoints

  • Direct secure messaging: james.tuck.1@18019.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Clair Care a Hospice IncPell City, AL, CCN 011526 Hospice Corporate Director
W-2 Managing Employee
Apr 19, 2012
Apr 19, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1871687541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 MASTERS RD",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "35128",
            "telephone_number": "205-884-1111",
            "fax_number": "205-884-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 MASTERS RD",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "35128",
            "telephone_number": "205-884-1111",
            "fax_number": "205-884-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCK",
        "first_name": "JAMES",
        "middle_name": "MURRAY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "10277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000076443",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pell City, AL

Sources for this page

Verify at the official NPI Registry.