Organization Active NPI

Tucker Medical Management Services, LLC

  • General Practice Physician
  • Oxford, MS
National Provider Identifier
1992598338
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
TUCKER MEDICAL MANAGEMENT SERVICES, LLC
Practice address
2704 W Oxford Loop Ste 117
Oxford, MS 38655-5728
Phone
(423) 603-3700
NPI assigned
May 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Dr. Patrick Edwin Tucker, MDNPI 1295749349
Title
Manager
Phone
(662) 415-7020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2704 W Oxford Loop Ste 117
Oxford, MS 38655-5728

Mailing address

602 Thrasher PT
Oxford, MS 38655-5970
Phone (423) 603-3700

Other names 1

  • Tucker Integrative Medical Group Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1992598338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 THRASHER PT",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555970",
            "telephone_number": "423-603-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 W OXFORD LOOP STE 117",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555728",
            "telephone_number": "423-603-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKER MEDICAL MANAGEMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "662-415-7020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tucker Integrative Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.