Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Tucker Prime

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1669042172

Jonathan Tucker Prime is a Podiatry in New Albany, Indiana. Graduated from William M. Scholl College of Podiatric Medicine in 2021, 5 years ago. Practices with Ansert Foot and Ankle Center PSC, a 4-clinician group and accepts Medicare assignment. Licensed in Indiana and Kentucky.

Years since qualifying
5
Trained at
William M. Scholl College of Podiatric Medicine
Licensed in
IN, KY
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

2315 Green Valley Rd Ste 200
New Albany, IN 47150-4690
Phone: (812) 949-1002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 07001467A (IN)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 269628 (KY)

Record details

NPI number1669042172
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 28, 2021
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024
Mailing address2315 Green Valley Rd Ste 200, New Albany, IN 47150-4690

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolWILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice Ansert Foot And Ankle Center P.S.C. — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in New Albany