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

Jonathan Mark Tackett, DO

Individual provider Family Medicine Physician · NPI 1922369974

Jonathan Mark Tackett, DO is a Family Practice in Prestonsburg, Kentucky. Qualified in 2012, 14 years ago. Practices with Ashland Hospital Corporation, a 168-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
14
Licensed in
KY
In the registry since
2012
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.

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Practice location Address checks out

1279 Old Abbott Mountain Rd
Prestonsburg, KY 41653-1889
Phone: (606) 886-1260
Fax: (606) 886-3590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 03794 (KY)

Record details

NPI number1922369974
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 6, 2012
Last updated in NPPESFebruary 7, 2017
Mailing addressPo Box 1595, Ashland, KY 41105-1595

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Ashland Hospital Corporation — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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