NICHOLE TACKETT DO
NPI 1003664467
Surgery in Spartanburg, SC

Active since May 10, 2024PECOS Enrolled
101 E WOOD ST, SPARTANBURG, SC 29303(864) 560-6285 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nichole Tackett Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLE TACKETT DO (NPI 1003664467) is an individual surgery provider in Spartanburg, South Carolina, licensed in South Carolina (LL91376) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003664467
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameNICHOLE TACKETTCredential: DO
Location Address101 E WOOD STSpartanburg, SC 29303-3040
Mailing Address101 E Wood StSpartanburg, SC 29303-3040 · (864) 560-6285
Sole ProprietorNo
Enumeration DateMay 10, 2024
NPPES CertifiedMay 10, 2024
NPI 1003664467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in SC · LL91376
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

101 E WOOD ST, Spartanburg, SC 29303

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nichole Tackett Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Nurse Anesthetist, Certified Registered
101 E WOOD ST
SPARTANBURG, SC 29303
Student in an Organized Health Care Education/Training Program
101 E WOOD ST
SPARTANBURG, SC 29303
Radiology (Radiation Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Internal Medicine (Hematology & Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Internal Medicine
101 E WOOD ST, SUITE 401
SPARTANBURG, SC 29303
Radiology (Diagnostic Radiology)
101 E WOOD ST
SPARTANBURG, SC 29303
Anesthesiology
101 E WOOD ST
SPARTANBURG, SC 29303

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 Nichole Tackett's NPI number?

The NPI number for Nichole Tackett is 1003664467. It was assigned to this individual provider in the NPPES registry on May 10, 2024.

Where is Nichole Tackett located?

Nichole Tackett practices at 101 E Wood St, Spartanburg, SC 29303. The listed phone number is (864) 560-6285.

What is Nichole Tackett's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nichole Tackett enrolled in Medicare?

Yes. Nichole Tackett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nichole Tackett was last updated on May 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.