TRACY J TACKET DO PLLC
NPI 1992826366
Family Medicine in Niles, MI

Q: What is Tracy J Tacket Do PLLC's NPI number?

The NPI number for Tracy J Tacket Do PLLC is 1992826366. It was assigned to this organization in the NPPES registry on April 3, 2007.

Q: What is Tracy J Tacket Do PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 03, 2007

24 N SAINT JOSEPH AVE, SUITE G, NILES, MI 49120(269) 684-5002 Get Directions Write a Review

NPPES record last updated: March 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tracy J Tacket Do Pllc NPPES

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

TRACY J TACKET DO PLLC (NPI 1992826366) is a healthcare organization registered as a family medicine in Niles, Michigan and active in the NPI registry since April 2007. The organization lists Tracy J Tacket, Owner, as its authorized official.

NPPES Registry Identity

NPI1992826366

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameTRACY J TACKET DO PLLC

Location Address24 N SAINT JOSEPH AVE, SUITE GNiles, MI 49120-2263

Mailing Address3061 Christy WaySaginaw, MI 48603-2267 · (989) 791-2455

Phone(269) 684-5002

Organization SubpartNo

Authorized OfficialTracy J TacketOwner · (269) 684-5002

Enumeration DateApril 3, 2007

Last NPPES UpdateMarch 15, 2010

✔ NPI 1992826366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 5101017117

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

24 N SAINT JOSEPH AVE, Niles, MI 49120

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Other Identifiers 3

Medicare UPINE59046MI

Medicare PIN0P44810MI

Medicaid4994944MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

DOUGLAS TACKET DO PLLC

Family Medicine

24 N SAINT JOSEPH AVE, SUITE G
NILES, MI 49120

Berrien County (269) 684-5002

DR. MICHAEL L FLEWELLING DDS

Dentist (General Practice)

24 N SAINT JOSEPH AVE, SUITE E-2
NILES, MI 49120

Berrien County (269) 683-4180

GREATER NILES CARDIOLOGY PC

Internal Medicine (Cardiovascular Disease)

24 N SAINT JOSEPH AVE, SUITE F1
NILES, MI 49120

Berrien County (269) 687-9575

MR. JOE FRANCISCO MSW, LCSW

Social Worker (Clinical)

24 N SAINT JOSEPH AVE, SUITE G
NILES, MI 49120

Berrien County (269) 684-6870

CARDIOVASCULAR DISEASES OF NILES, P.C.

Internal Medicine (Cardiovascular Disease)

24 N SAINT JOSEPH AVE, SUITE A
NILES, MI 49120

Berrien County (269) 683-1120

MIKE FLEWELLING DDS PLC

Dentist (General Practice)

24 N SAINT JOSEPH AVE, SUITE E-2
NILES, MI 49120

Berrien County (269) 683-4180

STEPHANIE MARIE MANN

Social Worker (Clinical)

24 N SAINT JOSEPH AVE
NILES, MI 49120

Berrien County (269) 684-4270

WEST MICHIGAN HEARING SPECIALISTS LLC

Audiologist-Hearing Aid Fitter

24 N SAINT JOSEPH AVE, SUITE C-1
NILES, MI 49120

Berrien County (269) 683-0800

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 Tracy J Tacket Do PLLC's NPI number?

The NPI number for Tracy J Tacket Do PLLC is 1992826366. It was assigned to this organization in the NPPES registry on April 3, 2007.

Where is Tracy J Tacket Do PLLC located?

Tracy J Tacket Do PLLC is located at 24 N Saint Joseph Ave Suite G, Niles, MI 49120. The listed phone number is (269) 684-5002.

What is Tracy J Tacket Do PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Tracy J Tacket Do PLLC was last updated on March 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.