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 is a Geriatric Medicine (Family Medicine) Physician 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