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

Dr. Douglas Gregory Tacket, DO

Individual provider Family Medicine Physician · NPI 1790764868

Dr. Douglas Gregory Tacket, DO is a Family Practice in Saint Joseph, Michigan. Qualified in 1990, 36 years ago. Practices with Lakeland Medical Practices, a 287-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana and Michigan.

Years since qualifying
36
Licensed in
IN, MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4077 S Cleveland Ave
Saint Joseph, MI 49085-9513
Phone: (269) 429-2992
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 206 W Warren St, Middlebury, IN 46540-9410 — (574) 825-2146

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101012140 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 02001246A (IN)

Record details

NPI number1790764868
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 17, 2006
Last updated in NPPESFebruary 22, 2024
Certification dateFebruary 22, 2024
Mailing address4077 S Cleveland Ave, Saint Joseph, MI 49085-9513

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Lakeland Medical Practices — 287 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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