Active NPI
Marco D Tuggle
- Non-emergency Medical Transport (VAN)
- Millington, TN
National Provider Identifier
1881456630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 84686077
- Practice address
- 4456 Ellen St
Millington, TN 38053-8189 - Phone
- (901) 282-9517
- Fax
- (901) 872-4701
- NPI assigned
- Jan 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 84686077 | TN | Primary |
Addresses
Primary practice location
4456 Ellen St
Millington, TN 38053-8189
Mailing address
4456 Ellen St
Millington, TN 38053-8189
Phone (901) 282-9517
Other names 1
- Marco Tuggle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84686077 | TN | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1881456630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4456 ELLEN ST",
"city": "MILLINGTON",
"state": "TN",
"postal_code": "380538189",
"telephone_number": "901-282-9517",
"fax_number": "901-872-4701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4456 ELLEN ST",
"city": "MILLINGTON",
"state": "TN",
"postal_code": "380538189",
"telephone_number": "901-282-9517",
"fax_number": "901-872-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUGGLE",
"first_name": "MARCO",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-26",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "TN",
"license": "84686077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARCO",
"last_name": "TUGGLE",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Millington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.