Victor Jason Tucker, PA-C
NPI 1104800390ActiveIndividual· Physician Assistant, Medical· Rome, GA
Physician Assistant, Medical (PA-C) with Hospital Physician Services - Southeast Professional Corporation, practicing in Rome, Georgia. 270 Medicare patients in 2024, $28,931 paid; nearly all of their 279 Part D prescriptions were generic (93%). Lists Adventhealth Redmond as a hospital affiliation.
Overview
| NPI | 1104800390 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Dec 1, 2005 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 3922 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 270 |
|---|---|
| Services billed | 287 across 12 procedure codes |
| Paid by Medicare | $28,931 |
Part D prescriptions in 2024
| Prescriptions (claims) | 279 · 282 30-day fills |
|---|---|
| Patients | 199 |
| Total drug cost | $4,367 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Hospital Physician Services - Southeast Professional CorporationClyde, NC · 840 clinicians
Hospital affiliation
- Adventhealth RedmondRome, GA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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