DR. TAYLOR GRACE TACKETT DOCTOR OF OPTOMETRY
NPI 1003508797
Optometrist in Russellville, AL
About Dr. Taylor Grace Tackett Doctor Of Optometry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TAYLOR GRACE TACKETT DOCTOR OF OPTOMETRY (NPI 1003508797) is an individual optometrist in Russellville, Alabama, licensed in Alabama (S-F21) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Taylor Grace Tackett Doctor Of Optometry is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Taylor Tackett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Russellville, AL 35653
- Reassigned Medicare billing, Alabama enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35653 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Taylor Tackett's NPI number?
The NPI number for Taylor Tackett is 1003508797. It was assigned to this individual provider in the NPPES registry on May 22, 2023.
Where is Taylor Tackett located?
Taylor Tackett practices at 14378 Highway 43, Russellville, AL 35653. The listed phone number is (256) 332-1355.
What is Taylor Tackett's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Taylor Tackett enrolled in Medicare?
Yes. Taylor Tackett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Taylor Tackett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Taylor Tackett reassigns Medicare benefits to Campbell Vision Center, Inc. (Russellville, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Taylor Tackett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Taylor Tackett accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Taylor Tackett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Taylor Tackett was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Taylor Grace Tackett, DOCTOR OF OPTOMETRY · NPI 1003508797
Optometrist provider in Russellville, Alabama. Individual provider, active in the CMS NPPES registry since May 22, 2023.
## Identity
- **NPI:** 1003508797 (Entity type: Individual)
- **Enumerated:** May 22, 2023
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** S-F21 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 14378 HIGHWAY 43, Russellville, AL 35653-2568
- **Phone:** (256) 332-1355
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Campbell Vision Center, Inc. (NPI 1649371550, Russellville, AL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** June 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1003508797) · Data from the CMS NPPES public registry.