P Praxis·MD
● Active Type 1 · Individual

MR. Charles Thomas Tucker, MD

Internal Medicine·Jesup, GA· NPI 1831204478 · Enumerated 2006 · 19 years on NPI
Tucker is 1 of 2 internal medicine providers in Jesup and 1 of 562 in Georgia.
NPI age
19 years
Enumerated 2006-08-21
Primary specialty
Internal Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-01-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 562 active internal medicine providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
18% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
111 Colonial Way Ste 2
Jesup, GA 315450132
📞 9125881919fax 9125881919
Mailing address
208 Scranton Connector, Suite 117
Brunswick, GA 315250559
📞 9122645961fax 9122629499

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
208 Scranton Connector, Suite 117
Brunswick, GA 315250559
📞 9122645961fax 9122629499
Location 3
3025 Shrine Rd Ste 450
Brunswick, GA 315204787
📞 9122646133fax 9122671415

Specialties

  • Internal Medicine Primary
    An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
    GA license #026402 taxonomy 207RN0300X

Identifiers

TypeValueNotes
01 (GA) 01035667 AMERIGROUP
01 (GA) 390004393 RAILROAD MEDICARE
01 (GA) 616370 BLUE SHIELD
05 (GA) 000291079A
01 (GA) N363398 WELLCARE

Practice context

Part of a multi-provider practice. 2 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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