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

Dr. Derek Thacker, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1538570544

Dr. Derek Thacker, MD is a General Surgery in Jackson, Tennessee. Graduated from University of South Alabama College of Medicine in 2014, 12 years ago. Practices with West Tennessee Medical Group Inc, a 190-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
12
Trained at
University of South Alabama College of Medicine
Licensed in
TN
In the registry since
2014
Specialties on file
2
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

395 Hospital Blvd
Jackson, TN 38305-2080
Phone: (731) 664-7395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2500 N State St, Jackson, MS 39216-4500 — (601) 984-5101

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 61910 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1538570544
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 13, 2014
Last updated in NPPESMarch 11, 2021
Certification dateMarch 11, 2021
Mailing address250 Fleets Island Dr, Memphis, TN 38103-9019

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice West Tennessee Medical Group Inc — 190 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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