Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tackett Medical, PLLC

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1245041243

Tackett Medical, PLLC provides Geriatric Medicine (Family Medicine) Physician services in Colfax, North Carolina. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5640 Marblehead Dr
Colfax, NC 27235-9801
Phone: (501) 676-1410
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X

Record details

NPI number1245041243
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Tackett — Ceo · (501) 676-1410
NPI enumeratedJanuary 17, 2025
Last updated in NPPESJanuary 17, 2025
Certification dateJanuary 17, 2025
Mailing address5640 Marblehead Dr, Colfax, NC 27235-9801