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TACKETT MEDICAL, PLLC
NPI 1245041243
Family Medicine - Geriatric Medicine in Colfax, NC

Active since January 17, 2025
5640 MARBLEHEAD DR, COLFAX, NC 27235(501) 676-1410 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tackett Medical, Pllc NPPES

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

TACKETT MEDICAL, PLLC (NPI 1245041243) is a healthcare organization registered as a geriatric medicine in Colfax, North Carolina and active in the NPI registry since January 2025. The organization lists Jonathan Kenton Tackett, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245041243
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameTACKETT MEDICAL, PLLC
Location Address5640 MARBLEHEAD DRColfax, NC 27235-9801
Mailing Address5640 Marblehead DrColfax, NC 27235-9801
Phone(501) 676-1410
Organization SubpartNo
Authorized OfficialJonathan Kenton TackettCeo · (501) 676-1410
Enumeration DateJanuary 17, 2025
NPPES CertifiedJanuary 17, 2025
✔ NPI 1245041243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
5640 MARBLEHEAD DR, Colfax, NC 27235
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Tackett Medical, PLLC's NPI number?

The NPI number for Tackett Medical, PLLC is 1245041243. It was assigned to this organization in the NPPES registry on January 17, 2025.

Where is Tackett Medical, PLLC located?

Tackett Medical, PLLC is located at 5640 Marblehead Dr, Colfax, NC 27235. The listed phone number is (501) 676-1410.

What is Tackett Medical, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Tackett Medical, PLLC was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.