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

Andrea Hardison Tackett, MD, FACC

Individual provider Cardiovascular Disease Physician · NPI 1215138789

Andrea Hardison Tackett, MD, FACC is a Cardiovascular Disease (Cardiology) in San Luis Obispo, California. Graduated from University of Kentucky College of Medicine in 2005, 21 years ago. Practices with Cottage Medical Foundation, a 78-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
21
Trained at
University of Kentucky College of Medicine
Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
FACC — Fellow of the American College of Cardiology
A cardiologist admitted as a fellow of the ACC.

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Practice location Address checks out

1941 Johnson Ave Ste 101
San Luis Obispo, CA 93401-4154
Phone: (805) 782-8844
Fax: (805) 782-8859
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Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence A116056 (CA)
Nuclear Cardiology Physician Taxonomy 207UN0901X · Licence A116056 (CA)

Record details

NPI number1215138789
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , FACC
Sole proprietorNo
NPI enumeratedMay 30, 2007
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesNUCLEAR MEDICINE
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Cottage Medical Foundation — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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