P Praxis·MD
● Active Type 1 · Individual

Slavko Kukucka, M.D.

Clinic/Center·Rincon, GA· NPI 1568437507 · Enumerated 2006 · 20 years on NPI
Kukucka is 1 of 3 clinic/center providers in Rincon and 1 of 354 in Georgia.
NPI age
20 years
Enumerated 2006-02-22
Primary specialty
Clinic/Center
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-08-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 354 active clinic/center providers in Georgia.

NPI age
20 years
↑ 10 yr above median (10 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 22% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-02Enumerated in NPPES
2006 2026

Where they practice

Practice location
119 Chimney Rd
Rincon, GA 31326
📞 9128260229fax 9128260449
Mailing address
119 Chimney Rd
Rincon, GA 31326
📞 9128260229fax 9128260449

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QU0200X
  • Family Medicine
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #046877 taxonomy 207Q00000X

Identifiers

TypeValueNotes
01 (GA) 52782040-008 BCBS GA FOR SAVANNAH LOCATION
05 (GA) 000843235F
01 (GA) 52782040-009 BCBS/GA FOR POOLER LOCATION
01 (GA) GRP2837 MEDICARE GROUP ID
01 (GA) P00441748 RR MEDICARE
01 (GA) 582203199-009 TRICARE ID
01 (GA) CG4057 RR MEDICARE GROUP ID
05 (SC) G46877
01 (GA) 582203199-004 TRICARE ID

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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