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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WHITNEY JO TACKETT P.A.
NPI 1295174720
Physician Assistant in Georgetown, KY

Active since June 18, 2013PECOS Enrolled
196 BEVINS LN STE F, GEORGETOWN, KY 40324(502) 863-2818(502) 863-2764 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Whitney Jo Tackett P.a. NPPES

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

WHITNEY JO TACKETT P.A. (NPI 1295174720) is an individual physician assistant in Georgetown, Kentucky, licensed in Kentucky (PA1824) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Georgetown Community Hospital, and is a graduate of University Of Kentucky College Of Medicine (2013).

NPPES Registry Identity

NPI1295174720
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameWHITNEY JO TACKETTCredential: P.A.
Location Address196 BEVINS LN STE FGeorgetown, KY 40324-8534
Mailing Address196 Bevins Ln Ste FGeorgetown, KY 40324-8534 · (502) 863-2818 · Fax (502) 863-2764
Phone(502) 863-2818
Fax(502) 863-2764
Sole ProprietorYes
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2013
Enumeration DateJune 18, 2013
Last NPPES UpdateSeptember 15, 2026
NPPES CertifiedSeptember 15, 2026
✔ NPI 1295174720 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 · PA1824
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.
196 BEVINS LN STE F, Georgetown, KY 40324
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Whitney Jo Tackett P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153555727
PECOS Enrollment IDI20131015000478
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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services31 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Georgetown Community Hospital

Acute Care Hospitals · Georgetown, KY
OwnershipProprietary
CMS Certification Number180101
Location1140 Lexington RoadGeorgetown, KY 40324 · Scott County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40324 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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

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

MOBOLANLE ASOPE ELDER MD
Pediatrics
196 BEVINS LN STE F
GEORGETOWN, KY 40324
Scott County (502) 863-2818

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 Whitney Tackett's NPI number?

The NPI number for Whitney Tackett is 1295174720. It was assigned to this individual provider in the NPPES registry on June 18, 2013.

Where is Whitney Tackett located?

Whitney Tackett practices at 196 Bevins Ln Ste F, Georgetown, KY 40324. The listed phone number is (502) 863-2818.

What is Whitney Tackett's specialty?

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

Is Whitney Tackett enrolled in Medicare?

Yes. Whitney Tackett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Whitney Tackett affiliated with any hospitals?

According to CMS data, Whitney Tackett is affiliated with Georgetown Community Hospital.

When was this NPI record last updated?

The NPPES record for Whitney Tackett was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.