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

Individual provider Family Medicine Physician · NPI 1912933151

Chandos Dewayne Tackett, MD is a Family Practice in Huntington, West Virginia. Graduated from Jc Edwards School of Medicine, Marshall University in 1992, 34 years ago. Practices with St Mary's Himg, LLC, a 79-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
34
Trained at
Jc Edwards School of Medicine, Marshall University
Licensed in
WV
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3075 US Route 60 Ste A110
Huntington, WV 25705-8859
Phone: (304) 528-4600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 18209 (WV)

Record details

NPI number1912933151
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2006
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolJC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated 1992 (34 years in practice)
Group practice St. Mary'S Himg, Llc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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