TUCKER ELLIOTT POWELL (PA-C) – Physician Assistant, NPI 1083395701

TUCKER ELLIOTT POWELL (PA-C) is a healthcare provider. based in Mobile, Alabama. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA.2492 (AL). The NPI Number for TUCKER ELLIOTT POWELL (PA-C) is 1083395701

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
TUCKER ELLIOTT POWELL (PA-C)
NPI
1083395701
Phone
(251) 635-3001
Address
6708 STONEBROOK DR N
Enumeration Date
26 July 2023
Last Update Date
1 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2514352663
Graduation Year
2024 (2 years ago)
PAC ID
2567991730
Group Practice PAC ID
2365800604
Professional Enrollment ID
I20250203001011
Address ID
AL366954074MO831XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,214 PHYSICIAN ASSISTANT in AL

Provider Addresses for TUCKER ELLIOTT POWELL (PA-C)

  • 6708 STONEBROOK DR N

    MOBILE, AL 366953044

    Phone: (251) 635-3001

    Type: Mailing

  • 1720 Spring Hill Ave Ste 3

    Mobile, AL 366041410

    Phone: (251) 435-2663

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2024-06-26 • Largest payer in this snapshot: Becton, Dickinson and Company ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-03

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250203001011IPhysician AssistantALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36695)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365800604View full group profile
NameSpecialtyState
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Physician AssistantAL
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Physical Therapist In Private PracticeAL
Physician AssistantAL
Hand Surgery, Orthopedic SurgeryAL
Orthopedic SurgeryAL
Diagnostic RadiologyFL

Reviews

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Frequently asked questions

What identifier follows TUCKER ELLIOTT POWELL (PA-C) across health systems?
The NPI 1083395701 uniquely identifies TUCKER ELLIOTT POWELL (PA-C) in U.S. healthcare data.
Is TUCKER ELLIOTT POWELL (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists TUCKER ELLIOTT POWELL (PA-C) as active.
What services align with TUCKER ELLIOTT POWELL (PA-C)'s listing?
TUCKER ELLIOTT POWELL (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to TUCKER ELLIOTT POWELL (PA-C)?
TUCKER ELLIOTT POWELL (PA-C) shows a connection to Mobile, Alabama in registry-derived data.
Can I export TUCKER ELLIOTT POWELL (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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