NPI age
19 years
Enumerated 2006-06-21
● Active
Type 1 · Individual
Dale Tucker, MD
Tucker is 1 of 29 family medicine providers in Waycross and 1 of 5448 in Georgia.
Primary specialty
Family Medicine
Plus 2 subspecialties
Licensed in
FL, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-05-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5448 active family medicine providers in Georgia.
NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
2 states
Top 87% — 12% of peers are multi-state
Subspecialties
1
In the 26% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Practice location
1506 Alice St
Waycross, GA 315014531
Mailing address
4205 Belfort Rd Ste 4015
Jacksonville, FL 322163623
Additional practice locations
1 secondary location on file with NPPES.
Location 2
10503 San Jose Blvd
Jacksonville, FL 322576295
Specialties
-
Family Medicine PrimaryFamily 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...
-
Emergency MedicineAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | 930119999 | RAILROAD MEDICARE |
| 01 (FL) | 35915 | BCBS |
| 05 (FL) | 261605000 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.