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

Charles Tyler Thacker, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902501778

Charles Tyler Thacker, DO is an Emergency Medicine in Dalton, Georgia. Qualified in 2023, 3 years ago. Practices with Tennessee River Physicians, PLLC, a 65-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
3
Licensed in
TN
In the registry since
2023
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Dalton, GA

No coordinates on file. Search this address in Google Maps

Additional practice locations (2)

  • 975 E 3rd St, Chattanooga, TN 37403-2173 — (423) 778-7628
  • 16931 Rankin Ave # 100, Dunlap, TN 37327-7029 — (423) 949-2000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 6328 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902501778
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 3, 2023
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Tennessee River Physicians, Pllc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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