OrganizationActive
Healthcare Authority of Elba
NPI 1215235072 · Primary Care Clinic/Center · Elba, AL
Provider details
- NPI number
- 1215235072
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Healthcare Authority of Elba
- Organization subpart
- Yes
- Authorized official
- Ellen Briley, Chief Executive Officer(334) 897-2257
- License
- M030769 (AL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
980 Drayton Ave
Elba, AL 36323-1404
Phone: (334) 897-3800
Fax: (334) 897-3804
Street-level locationGet directions
Mailing address
980 Drayton Ave
Elba, AL 36323-1404
Other names (DBA / former)
- Doing business as
- Jason D. Tucker, MD
Registry dates
- Enumerated
- 2011-03-03
- Last updated
- 2011-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.