MRS. JOAN LAVONNE TACKETT APN
NPI 1154697829
Nurse Practitioner - Family in Greensboro, NC

Q: What is Joan Tackett's NPI number?

The NPI number for Joan Tackett is 1154697829. It was assigned to this individual provider in the NPPES registry on March 28, 2012.

Q: What is Joan Tackett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Joan Tackett was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since March 28, 2012PECOS Enrolled

1007 SUMMIT AVE, GREENSBORO, NC 27405(336) 200-7010 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2025, Feb 17, 2025 (2 updates tracked since 2025).

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About Mrs. Joan Lavonne Tackett Apn NPPES

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

MRS. JOAN LAVONNE TACKETT APN (NPI 1154697829) is an individual family provider in Greensboro, North Carolina, licensed in North Carolina (5016176) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lonoke, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1154697829

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. JOAN LAVONNE TACKETTCredential: APN

Location Address1007 SUMMIT AVEGreensboro, NC 27405-7007

Mailing AddressPo Box 746724Atlanta, GA 30374-6724 · (312) 733-9730

Phone(336) 200-7010

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateMarch 28, 2012

Last NPPES UpdateMarch 17, 20252 updates tracked since enumeration

NPPES CertifiedMarch 17, 2025

✔ NPI 1154697829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in NC · 5016176✔ Licensed in AR · A03553ANP

1007 SUMMIT AVE, Greensboro, NC 27405

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Secondary Practice Location 1

Location 1305 W. Front St.., Sherwood Urgent CareLonoke, AR 72086 · Phone (501) 676-6560 · Fax (501) 676-7166

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Joan Lavonne Tackett Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830353762

PECOS Enrollment IDI20220630003079

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.

Areas of Expertise CMS Part B claims 10

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

1,468 services181 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

467 services123 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

335 services94 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

140 services74 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

49 services40 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

37 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27405 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

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 5

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

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