JOSEPH BRANDON TACKETT FNP-C NPI 1811547532

NPI Information

  • NPI: 1811547532
  • Provider Name: JOSEPH BRANDON TACKETT, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1051 HIGHLAND COLONY PKWY
    RIDGELAND, MS
    ZIP 39157
  • Phone: (601) 707-3737

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NPI Details

Joseph Brandon Tackett, FNP-C is a family nurse practitioner in Ridgeland, MS with 6 years of experience. Joseph Brandon Tackett, FNP-C NPI is 1811547532. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1051 HIGHLAND COLONY PKWY
RIDGELAND, MS
ZIP 39157-843
Phone: (601) 707-3737

The NPI 1811547532 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.

  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Detection test by nucleic acid for multiple types influenza virus (HCPCS:87502)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Urinalysis, manual test (HCPCS:81002)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 9/14/2019 and was last updated on 10/7/2019.

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
1363LF0000XNurse PractitionerFamily903568MISSISSIPPIYes
2363LF0000XNurse PractitionerFamilyTACK-9YD0RYMISSISSIPPINo

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: 3/30/2025

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