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

Dr. James Faird Tackett, MD

Individual provider Internal Medicine Physician · NPI 1699787804

Dr. James Faird Tackett, MD is a Hospitalist in Peoria, Illinois. Graduated from West Virginia School of Osteopathic Medicine in 1993, 33 years ago. Practices with Houston County Healthcare Authority, a 258-clinician group and accepts Medicare assignment. Licensed in Alabama, Florida, Illinois and West Virginia and 1 more.

Years since qualifying
33
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
AL, FL, IL, WV, WY
In the registry since
2006
Specialties on file
5
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

221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone: (309) 999-1091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence ME107562 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD.30275 (AL)
Internal Medicine Physician Taxonomy 207R00000X · Licence TL7008 (WY)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036-117166 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 7956 (WV)

Record details

NPI number1699787804
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 13, 2006
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025
Mailing addressRr 1 Box 46-25, Red House, WV 25168-9713

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 1993 (33 years in practice)
Group practice Houston County Healthcare Authority — 258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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