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

Talita Chacko

Individual provider Family Nurse Practitioner · NPI 1649011487

Talita Chacko is a Nurse Practitioner in Decatur, Georgia. Qualified in 2023, 3 years ago. Practices with Georgia Nephrology, LLC, a 29-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2024

Practice location Address checks out

497 Winn Way
Decatur, GA 30030-1754
Phone: (404) 645-7150
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN197771 (GA)

Record details

NPI number1649011487
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 5, 2024
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024
Mailing address497 Winn Way, Decatur, GA 30030-1754

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Georgia Nephrology, Llc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Decatur