IndividualActive
Susan Moore Rucker, MD
NPI 1104967306 · Pediatrics Physician · Athens, TN
Susan Moore Rucker, MD is a Pediatrics Physician provider in Athens, TN (NPI 1104967306).
Provider details
- NPI number
- 1104967306
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD28936 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
500 Decatur Pike
Athens, TN 37303-2514
Phone: (423) 745-2500
Fax: (423) 745-2571
Street-level locationGet directions
Mailing address
Po Box 294
Athens, TN 37371-0294
Registry dates
- Enumerated
- 2007-02-09
- Last updated
- 2007-07-08
Frequently asked questions
- What is Susan Moore Rucker's NPI number?
- Susan Moore Rucker's National Provider Identifier (NPI) is 1104967306, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susan Moore Rucker's specialty?
- Susan Moore Rucker is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Susan Moore Rucker located?
- Susan Moore Rucker's practice location on file with NPPES is 500 Decatur Pike, Athens, TN 37303-2514.
- What is Susan Moore Rucker's phone number?
- The practice phone number listed in the NPPES registry for Susan Moore Rucker is (423) 745-2500.
- Is Susan Moore Rucker's NPI active?
- Yes — Susan Moore Rucker's NPI (1104967306) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.