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

Whitney Jo Tackett, PA

Individual provider Physician Assistant · NPI 1295174720

Whitney Jo Tackett, PA is a Physician Assistant in Lexington, Kentucky. Graduated from University of Kentucky College of Medicine in 2013, 13 years ago. Practices with Kentucky MSO LLC, a 54-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
13
Trained at
University of Kentucky College of Medicine
Licensed in
KY
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

800 Rose St Rm M53
Lexington, KY 40536-9103
Phone: (859) 323-5908
Fax: (859) 323-8056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1824 (KY)

Record details

NPI number1295174720
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 18, 2013
Last updated in NPPESFebruary 2, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Kentucky Mso Llc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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