ROBERT W TUCKER (PA) – Emergency Medicine Physician, NPI 1710951595

ROBERT W TUCKER (PA) is a healthcare provider. based in Waycross, Georgia. specializing in Emergency Medicine Physician. They hold the professional credentials PA. They hold a License No. 002765 (GA). The NPI Number for ROBERT W TUCKER (PA) is 1710951595

Main info

Male
31 Years Of Experience
Name
ROBERT W TUCKER (PA)
NPI
1710951595
Phone
(912) 287-0301
Address
218 QUARTERMAN STREET
Enumeration Date
16 February 2006
Last Update Date
30 September 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2294962472
Graduation Year
1995 (31 years ago)
PAC ID
2365486537
Group Practice PAC ID
5496181695
Professional Enrollment ID
I20050617000773
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ROBERT W TUCKER (PA)

  • 218, Quarterman Street, Waycross, Ware County, Georgia, 31501, United States

    WAYCROSS, GA 315013547

    Phone: (912) 287-0301

    Fax: (912) 287-1568

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-06-17

PECOS data refreshed: 2026-05-27

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
I20050617000773IPhysician AssistantGATBD

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 31501)

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Reviews

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Frequently asked questions

What is the registry number for ROBERT W TUCKER (PA)?
The registry entry for ROBERT W TUCKER (PA) shows NPI 1710951595.
Does the public listing show ROBERT W TUCKER (PA) as active?
ROBERT W TUCKER (PA)'s NPI record reflects an active status in NPPES.
Which specialty label fits ROBERT W TUCKER (PA)?
NPPES ties ROBERT W TUCKER (PA) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to ROBERT W TUCKER (PA)?
The directory associates ROBERT W TUCKER (PA) with Waycross, Georgia. Check all listed addresses for suites or satellite offices.
Who maintains ROBERT W TUCKER (PA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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