Olivia Grayce Tack, MD
Olivia Grayce Tack, MD is a Pediatric Medicine in Granger, Indiana. Graduated from Michigan State University College of Human Medicine in 2003, 23 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 23
- Trained at
- Michigan State University College of Human Medicine
- Licensed in
- IN
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
6913 N Main St Ste 200Granger, IN 46530-8039
Phone: (574) 647-4540
Fax: (574) 647-2567
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 01062281A (IN) |
|---|
Record details
| NPI number | 1255371514 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 7, 2006 |
| Last updated in NPPES | November 24, 2025 |
| Certification date | November 24, 2025 |
| Mailing address | 3245 Health Dr Ste 100, Granger, IN 46530-1380 |
Medicare enrollment
| Medicare specialty | PEDIATRIC MEDICINE |
|---|---|
| Medical school | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduated | 2003 (23 years in practice) |
| Group practice | Beacon Medical Group Inc — 574 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Granger
-
Dr. Shanna Verma Kautzmann, MD
6913 N Main St Ste 200, Granger, IN 46530-8039 · (574) 647-4540
-
Premier Pediatrics of Indiana LLC
229 Florence Ave Ste 233, Granger, IN 46530-8048 · (574) 855-4575
-
Nancy Anne Pudlo, MD
6913 N Main St Ste 200, Granger, IN 46530-8039 · (574) 647-4540
-
Quality Care Pediatrics
6910 N Main St Unit 34, Granger, IN 46530-9680 · (574) 277-7860