TERESA D TUCKER (NP) – Gerontology Nurse Practitioner, NPI 1780866830

TERESA D TUCKER (NP) is a healthcare provider. based in Savannah, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. APN0000013057 (TN). The NPI Number for TERESA D TUCKER (NP) is 1780866830

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
TERESA D TUCKER (NP)
NPI
1780866830
Phone
(731) 925-2300
Address
255 WAYNE RD
Enumeration Date
30 November 2007
Last Update Date
13 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7319252300
Graduation Year
1999 (27 years ago)
PAC ID
2466535125
Group Practice PAC ID
3779490776
Professional Enrollment ID
I20080219000257
Address ID
TN383725219SA765XXRDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

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Provider Addresses for TERESA D TUCKER (NP)

  • 255, Wayne Road, Savannah, Hardin County, Tennessee, 38372, United States

    SAVANNAH, TN 383721947

    Phone: (731) 925-2300

    Type: Location

  • PO BOX 655

    SAVANNAH, TN 383720655

    Phone: (731) 925-2300

    Fax: (731) 925-3506

    Type: Mailing

  • 765 FLORENCE RD

    SAVANNAH, TN 383723451

    Phone: (731) 925-2300

    Type: Location

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: 2008-02-19

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
I20080219000257INurse PractitionerTNTBD

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 38372)

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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: 3779490776View full group profile
NameSpecialtyState
Nurse PractitionerTN
Family PracticeTN
Family PracticeAL
Clinical Social WorkerMS
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Emergency MedicineTN
Nurse PractitionerTN
Mental Health CounselorTN

Reviews

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Frequently asked questions

Can I cross-check TERESA D TUCKER (NP) using NPI 1780866830?
NPI 1780866830 belongs to TERESA D TUCKER (NP); compare other details if you need extra assurance.
Is TERESA D TUCKER (NP) shown as active in public data?
Registry records indicate TERESA D TUCKER (NP) maintains an active NPI.
How would a patient describe TERESA D TUCKER (NP)'s focus?
For TERESA D TUCKER (NP), the primary taxonomy reads as Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is TERESA D TUCKER (NP) located near Savannah?
TERESA D TUCKER (NP) currently maps to Savannah, Tennessee in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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