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

Dr. Michael Ernest Thacker, DPM

Individual provider Podiatrist · NPI 1336448125

Dr. Michael Ernest Thacker, DPM is a Podiatry in Columbia, South Carolina. Qualified in 2010, 16 years ago. Practices with Kg Health Partners Inc, a 21-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
16
Licensed in
SC
In the registry since
2011
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

425 Summit Terrace Ct Bldg 7A
Columbia, SC 29229-7055
Phone: (803) 788-6400
Fax: (803) 788-6544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 627 (SC)
Podiatrist Taxonomy 213E00000X · Licence 627 (SC)
Foot Surgery Podiatrist Taxonomy 213ES0131X · Licence 627 (SC)

Record details

NPI number1336448125
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedMarch 20, 2011
Last updated in NPPESSeptember 20, 2022
Certification dateSeptember 20, 2022

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Kg Health Partners Inc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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