CONNIE TUCKER NPI 1174026892

NPI Information

  • NPI: 1174026892
  • Provider Name: CONNIE TUCKER
  • Classification: Technician - 3747P1801X
  • Specialization: Personal Care Attendant
  • Entity Type: Individual
  • Address: 2738 WHITES MILL RD
    DECATUR, GA
    ZIP 30034
  • Phone: (404) 781-8224

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NPI Details

Connie Tucker is a personal care attendant technician in Decatur, GA. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards Connie Tucker NPI is 1174026892. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2738 WHITES MILL RD
DECATUR, GA
ZIP 30034-658
Phone: (404) 781-8224

The enumeration date for this NPI number is 3/9/2018 and was last updated on 3/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13747P1801XTechnicianPersonal Care AttendantYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1257605937AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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