Anna Harper Tucker, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2017-00910 Issued in NC

Practice address

105 Springhall Dr
Goose Creek, SC 29445-5351

Phone

(843) 766-6308

Fax

(866) 533-4473

NPI assigned

May 2, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Anna Elise Harper Former name

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Musc Affiliate Physicians

  dba MUSC Affiliate Physicians Spec

  • Psychiatry Physician
  • Charleston, SC
  • NPI 1700465648
  Medicare reassignment NPD
• Musc Affiliate Physicians

  dba MUSC Affiliate Physicians PCP

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1548849482

  Pediatrics

  NPD (past)
• Plantation Pediatrics, LLC

  • Pediatrics Physician
  • Charleston, SC
  • NPI 1427415298
  NPD (past)
• Thomasville-Archdale Pediatrics, PLLC

  • Pediatrics Physician
  • Thomasville, NC
  • NPI 1427018894
  NPD (past)
• Thomasville/Archdale Pediatrics PLLC

  • Registered Dietitian
  • Thomasville, NC
  • NPI 1891094553
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1942610647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SPRINGHALL DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455351",
            "telephone_number": "843-766-6308",
            "fax_number": "866-533-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SPRINGHALL DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455351",
            "telephone_number": "843-766-6308",
            "fax_number": "866-533-4473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Arthur Dr",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "NC",
            "postal_code": "273606275",
            "country_code": "US",
            "telephone_number": "336-475-2348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1818 Remount Rd",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294063239",
            "country_code": "US",
            "telephone_number": "843-766-6308",
            "fax_number": "866-533-4473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "ANNA",
        "middle_name": "HARPER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-02",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2017-00910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "HARPER",
            "middle_name": "ELISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Total Renal Care Inc (Goose Creek Dialysis)
• Total Renal Care Inc. (Goose Creek Dialysis)
• Calvin Khang Dinh Tran, DO
• Vu Nguyen Tran, DMD
• Leah S Trantham, MD
• William Martin Tucker III, MD
• Richard Emmanuel Tuzon
• Carolyn Underhill, ORT/L
• Donna Michelle Unger, PHARM D
• Universal Primary Care & Aesthetics, LLC

• Pediatrics Physician in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.