BOBBY O TACKITT II M.D.
NPI 1386694990
Obstetrics & Gynecology in Marietta, GA

Active since May 12, 2006Opted out of Medicare · through Feb 23, 2027
699 CHURCH ST NE, SUITE 300, MARIETTA, GA 30060(770) 422-8700(770) 425-7601 Get Directions Write a Review

NPPES record last updated: January 14, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bobby O Tackitt Ii M.d. NPPES

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

BOBBY O TACKITT II M.D. (NPI 1386694990) is an individual obstetrics & gynecology provider in Marietta, Georgia, licensed in Georgia (47267) and active in the NPI registry since May 2006. He has opted out of Medicare through February 23, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1386694990
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameBOBBY O TACKITT IICredential: M.D.
Location Address699 CHURCH ST NE, SUITE 300Marietta, GA 30060-1110
Mailing Address699 Church St Ne, Suite 300Marietta, GA 30060-1110 · (770) 422-8700 · Fax (770) 425-7601
Fax(770) 425-7601
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateJanuary 14, 2014
NPI 1386694990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in GA · 47267
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
699 CHURCH ST NE, Marietta, GA 30060

Other Identifiers 4

Medicare PIN160052161GA
Medicaid00824249AGA
Medicare UPING18295GA
Medicare ID-Type Unspecified16BDSXNGA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Bobby O Tackitt Ii M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 23, 2015 through February 23, 2027.

Opt-Out Effective DateFebruary 23, 2015
Opt-Out In Effect ThroughFebruary 23, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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 20

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

Audiologist
699 CHURCH ST NE, SUITE 340
MARIETTA, GA 30060
Obstetrics & Gynecology
699 CHURCH ST NE, SUITE 300
MARIETTA, GA 30060
Nurse Practitioner (Women's Health)
699 CHURCH ST NE
MARIETTA, GA 30060
Advanced Practice Midwife
699 CHURCH ST NE, SUITE 500
MARIETTA, GA 30060
Obstetrics & Gynecology
699 CHURCH ST NE, SUITE 300
MARIETTA, GA 30060
Specialist/Technologist, Other (Surgical Assistant)
699 CHURCH ST NE
MARIETTA, GA 30060
Physician Assistant (Surgical)
699 CHURCH ST NE
MARIETTA, GA 30060
Otolaryngology
699 CHURCH ST NE, STE 340
MARIETTA, GA 30060

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 Bobby Tackitt's NPI number?

The NPI number for Bobby Tackitt is 1386694990. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Bobby Tackitt located?

Bobby Tackitt practices at 699 Church St NE Suite 300, Marietta, GA 30060. The listed phone number is (770) 422-8700.

What is Bobby Tackitt's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Bobby Tackitt enrolled in Medicare?

No. Bobby Tackitt has opted out of Medicare through February 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Bobby Tackitt accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Bobby Tackitt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bobby Tackitt was last updated on January 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.