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Export Provider Record NPI 1154741056
John Michael TuckerMD
Active
NPI Number1154741056
NPI TypeNPI-1 Individual
SpecialtyInternal Medicine
Provider Details
NPI1154741056
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2014-04-18
Last Updated2018-08-02
Mailing AddressPo Box 751461
Charlotte, NC 28275-1461
United States
Phone: (843) 792-6200
📍 View Map
Primary Practice Address171 Ashley Ave
Charleston, SC 29425
United States
Phone: (843) 792-1414
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207R00000X – Internal MedicineSC52142
No207R00000X – Internal MedicineNC2017-00573
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About NPI 1154741056

John Michael Tucker MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1154741056. The primary specialty listed is Internal Medicine. The provider is located in Charleston, SC. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2014-04-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1154741056?

NPI 1154741056 belongs to John Michael Tucker MD, a Internal Medicine in Charleston, SC. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1154741056 active?

The current status of NPI 1154741056 in the NPPES registry is Active. The record was last updated on 2018-08-02.

What specialty is NPI 1154741056?

NPI 1154741056 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1154741056?

You can verify NPI 1154741056 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1154741056?

The primary practice address on file for NPI 1154741056 is 171 Ashley Ave, Charleston, SC 29425. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1154741056 issued?

NPI 1154741056 was first issued (enumerated) on 2014-04-18. The NPPES record was last updated on 2018-08-02.

Practice Location Map

John Michael Tucker is located at 171 Ashley Ave, Charleston, SC. Use the map below to find directions or verify the practice location.

📍 171 Ashley Ave, Charleston, SC 29425  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as John Michael Tucker. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1154741056. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine52142SC
Internal Medicine2017-00573NC
Data Verified from CMS NPPES Last synced: 2026-08-20 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162