DR. JONATHAN KENTON TACKETT M.D. NPI 1407203888

NPI Information

  • NPI: 1407203888
  • Provider Name: DR. JONATHAN KENTON TACKETT, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6330 QUADRANGLE DR STE 500
    CHAPEL HILL, NC
    ZIP 27517
  • Phone: (888) 849-7379

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NPI Details

DR. Jonathan Kenton Tackett, M.D. is a family medicine in Chapel Hill, NC with 11 years of experience. The provider is 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. DR. Jonathan Kenton Tackett, M.D. NPI is 1407203888. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:2015

The provider's business location address is:

6330 QUADRANGLE DR STE 500
CHAPEL HILL, NC
ZIP 27517-281
Phone: (888) 849-7379

The NPI 1407203888 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes (HCPCS:99335)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Critical care, first 30-74 minutes (HCPCS:99291)

The enumeration date for this NPI number is 5/16/2016 and was last updated on 2/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineE-10960ARKANSASNo
2207P00000XEmergency Medicine2019-01875NORTH CAROLINANo
3207QG0300XFamily MedicineGeriatric Medicine2019-01875NORTH CAROLINANo
4207Q00000XFamily Medicine2019-01875NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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