MRS. SUSAN DENISE TACKETT CPED
NPI 1063505352
Contractor in Monroe, GA

Active since October 01, 2006
696 BREEDLOVE DR, SUITE B5, MONROE, GA 30655(404) 713-7011(770) 207-7196 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Susan Denise Tackett Cped NPPES

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

MRS. SUSAN DENISE TACKETT CPED (NPI 1063505352) is an individual contractor provider in Monroe, Georgia and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1063505352
Entity TypeIndividualFemale
Primary Taxonomy171W00000X
Provider Legal NameMRS. SUSAN DENISE TACKETTCredential: CPED
Location Address696 BREEDLOVE DR, SUITE B5Monroe, GA 30655-2052
Mailing Address3551 Apalachee RdgMonroe, GA 30656-8535 · (404) 713-7011 · Fax (770) 207-7196
Fax(770) 207-7196
Sole ProprietorYes
Enumeration DateOctober 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1063505352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
696 BREEDLOVE DR, Monroe, GA 30655

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 Susan Tackett's NPI number?

The NPI number for Susan Tackett is 1063505352. It was assigned to this individual provider in the NPPES registry on October 1, 2006.

Where is Susan Tackett located?

Susan Tackett practices at 696 Breedlove Dr Suite B5, Monroe, GA 30655. The listed phone number is (404) 713-7011.

What is Susan Tackett's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Susan Tackett was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.