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

Dr. Jonathan Kenton Tackett, MD

Individual provider Emergency Medicine Physician · NPI 1407203888

Dr. Jonathan Kenton Tackett, MD is a Family Practice in Chapel Hill, North Carolina. Graduated from University of Arkansas College of Medicine in 2015, 11 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Arkansas and North Carolina.

Years since qualifying
11
Trained at
University of Arkansas College of Medicine
Licensed in
AR, NC
In the registry since
2016
Specialties on file
4
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

6330 Quadrangle Dr Ste 500
Chapel Hill, NC 27517-8281
Phone: (888) 849-7379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4010 S Mulberry St, Pine Bluff, AR 71603-7000 — (870) 541-6000
  • 117 E Kings Hwy, Eden, NC 27288-5201 — (336) 623-9711

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2019-01875 (NC)
Emergency Medicine Physician Taxonomy 207P00000X · Licence E-10960 (AR)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2019-01875 (NC)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence 2019-01875 (NC)

Record details

NPI number1407203888
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2016
Last updated in NPPESFebruary 10, 2023
Certification dateFebruary 10, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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