Charles T Tucker (NPI# 1831204478, PAC ID# 3476590233) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1831204478 |
| PAC ID by PECOS | 3476590233 |
| Professional Enrollment ID | I20090527000270 |
| Full Name | Charles T Tucker |
| Organization Legal Name | NEPHROLOGY AND HYPERTENSION MEDICAL ASSOCIATES PC |
| Address |
111 Colonial Way Suite 2 Jesup GA 31545-0132 |
| Phone Number | 9125881919 |
| Gender | M |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | NEPHROLOGY |
| Group Practice PAC ID | 0244227130 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110025 | SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS |
| 110124 | WAYNE MEMORIAL HOSPITAL |
| 110071 | APPLING HOSPITAL |
| 110146 | SOUTHEAST GEORGIA HEALTH SYSTEM -- CAMDEN CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 111 Colonial Way, Suite 2, Jesup, GA 31545-0132 | 9125881919 | NEPHROLOGY AND HYPERTENSION MEDICAL ASSOCIATES PC |
| Organization Legal Name | NEPHROLOGY AND HYPERTENSION MEDICAL ASSOCIATES PC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leigh C Jacobs | Nurse Practitioner | Nephrology and Hypertension Medical Associates PC | 16 Kemmerlin Ln, Suite A, Beaufort, SC 29907-2709 |
| Margaret Mcclellan | Nurse Practitioner | Nephrology and Hypertension Medical Associates PC | 1115 Lexington Ave, Savannah, GA 31404-5502 |
| Erik D Bernstein | Nephrology | Nephrology and Hypertension Medical Associates PC | 604 Towne Park W Dr, Rincon, GA 31326-5180 |
| Rebecca Lee Sentman | Nephrology | Nephrology and Hypertension Medical Associates PC | 16 Okatie Ctr S Blvd, Suite 100, Okatie, SC 29909-7533 |
| William G Grubb | Nephrology | Nephrology and Hypertension Medical Associates PC | 1115 Lexington Ave, Savannah, GA 31404-5502 |
| James Bazemore | Nephrology | Nephrology and Hypertension Medical Associates PC | 1115 Lexington Ave, Savannah, GA 31404-5502 |
| Camden C Helder | Physician Assistant | Nephrology and Hypertension Medical Associates PC | 1115 Lexington Ave, Savannah, GA 31404-5502 |
| Jessica Mcabee Coleman | Nephrology | Nephrology and Hypertension Medical Associates PC | 1115 Lexington Ave, Savannah, GA 31404-5502 |
| Dana Kumjian | Nephrology | Nephrology and Hypertension Medical Associates PC | 1115 Lexington Ave, Savannah, GA 31404-5502 |
| Jorge Oscar Chabrier-rosello | Nephrology | Nephrology and Hypertension Medical Associates PC | 16 Kemmerlin Ln, Suite A, Beaufort, SC 29907-2709 |
| Street Address |
111 COLONIAL WAY SUITE 2 |
| City | JESUP |
| State | GA |
| Zip | 31545-0132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly M Boyette | Nurse Practitioner | Applecare LLC | 111 Colonial Way, Jesup, GA 31545-0130 |
| Kristin D Carver | Nurse Practitioner | Applecare LLC | 111 Colonial Way, Jesup, GA 31545-0130 |
| Shannon Ellis | Preventative Medicine | Applecare LLC | 111 Colonial Way, Jesup, GA 31545-0130 |
| Gary R Stern | Cardiovascular Disease (cardiology) | Wayne Sjc Medical Group, LLC | 111 Colonial Way, Suite 3, Jesup, GA 31545-0132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William S Rowell | Physician Assistant | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| John M Valosen | Orthopedic Surgery | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| Kyle S Deuter | Physician Assistant | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| Thomas Patrick Loumeau | Orthopedic Surgery | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| John L Kenerly Iii | Orthopedic Surgery | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| Jay Cook | Orthopedic Surgery | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| Gavin Heath Denmark | Physician Assistant | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| Monica Carrion | Physical Medicine and Rehabilitation | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| Amber B Aragon | Orthopedic Surgery | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| Mark D Byron | Urology | 162 Memorial Dr, Jesup, GA 31545-0101 | |
| Find all physicians in zip 31545 | |||
| City | JESUP |
| Zip Code | 31545 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | JESUP + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.