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MR. JIM R TACKETT PA-C
NPI 1104882083
Physician Assistant in Lexington, KY

Active since April 21, 2006
1101 VETERANS DR, LEXINGTON, KY 40502(859) 233-4511 Get Directions Write a Review

NPPES record last updated: February 24, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jim R Tackett Pa-c NPPES

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

MR. JIM R TACKETT PA-C (NPI 1104882083) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (PA553) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1104882083
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JIM R TACKETTCredential: PA-C
Location Address1101 VETERANS DRLexington, KY 40502-2235
Mailing Address2150 Elmfork RdNicholasville, KY 40356-9619 · (859) 887-9163
Phone(859) 233-4511
Sole ProprietorNo
Enumeration DateApril 21, 2006
Last NPPES UpdateFebruary 24, 2011
✔ NPI 1104882083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KY · PA553
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1101 VETERANS DR, Lexington, KY 40502
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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.

DR. TERESA CONNEALY GERMAN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1101 VETERANS DR
LEXINGTON, KY 40502
Fayette County (859) 281-3939
MR. ADAM LYNN SPENCER
Social Worker (Clinical)
1101 VETERANS DR
LEXINGTON, KY 40502
Fayette County (859) 233-4511
MS. SHERRI DENISE SAWYERS CSW
Social Worker
1101 VETERANS DR
LEXINGTON, KY 40502
Fayette County (859) 233-4511
MRS. KATHY J LOVELL RPH
Pharmacist
1101 VETERANS DR
LEXINGTON, KY 40502
Fayette County (859) 281-4976
MR. JAMES C. MOORE LCSW
Social Worker (Clinical)
1101 VETERANS DR, 29-1-LD
LEXINGTON, KY 40502
Fayette County (859) 281-3949
TRISTAN ALEXANDER CARNES PHARMD
Pharmacist
1101 VETERANS DR
LEXINGTON, KY 40502
Fayette County (859) 233-4511
JANICE STEPHENS RN
Registered Nurse
1101 VETERANS DR
LEXINGTON, KY 40502
Fayette County (859) 233-4511
MRS. ANGELINA D FLEMING MSW; LCSW
Social Worker (Clinical)
1101 VETERANS DR
LEXINGTON, KY 40502
Fayette County (859) 233-4511

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 Jim Tackett's NPI number?

The NPI number for Jim Tackett is 1104882083. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Jim Tackett located?

Jim Tackett practices at 1101 Veterans Dr, Lexington, KY 40502. The listed phone number is (859) 233-4511.

What is Jim Tackett's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jim Tackett was last updated on February 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.