Jim R. Tackett, PA-C
Physician Assistant · Lexington, KY
Jim R. Tackett, PA-C is a physician assistant with a practice address in Lexington, Kentucky, and NPI 1104882083, issued on Apr 21, 2006. Check the license (Kentucky PA553, as entered in NPPES) with the Kentucky board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jim R. Tackett
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- PA553 KY
Self-reported in NPPES; status is on the state search - Practice location
- 1101 Veterans Dr, Lexington, KY 40502
- Phone
- (859) 233-4511
- Enumerated
- Apr 21, 2006
- Record last updated
- Feb 24, 2011 (not updated in 15 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
Also registered at 1101 Veterans Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Bobbie Adams, ARNPNurse Practitioner1396958245
- Madison Adams, PT, DPTPhysical Therapist1932817301
- Brittany Ali, PHARMD, MPHPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist1376316141
- Patricia Allen, APRNFamily Nurse Practitioner1316495351
- Brittany Almaliki, M.A. CF-SLPSpeech-Language Pathologist1275017121
- Melissa Angell, PHARM.D.Pharmacotherapy Pharmacist1134185655
Verify Jim R. Tackett in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Kentucky board licenses this profession
Search for license PA553Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $942.55
7 payments; by number, the most common kind was food and beverage; the largest payer was Boston Scientific Corporation. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
585 physician assistant records list a practice address in Lexington
They are 585 of the 14,031 NPPES records with a practice address in Lexington, and 1,958 physician assistant records in Kentucky.
All 585 in Lexington → All 1,958 in Kentucky → Every provider in Lexington →
Other physician assistant records in Kentucky
- Devin AbbottLexington, KY1174354229
- Malinda Abbott, PALexington, KY1467470203
- Whitney Abbott, PA-CLexington, KY1619100799
- Brian Abner, PA-CBarbourville, KY1275883050
- Dee Abrams, PA-CLexington, KY1104927656
- Hayley Absher, PA-CShelbyville, KY1780209429
- Sara Ackerman, PA-CLawrenceburg, KY1467504845
- Briana AcostaClay City, KY1285528679
- Ashley Adair, PA-CLouisville, KY1639093396
- James Adair, PA-CLexington, KY1003140989
Common questions
What is Jim R. Tackett, PA-C's NPI number?
Jim R. Tackett, PA-C's National Provider Identifier (NPI) is 1104882083, issued on Apr 21, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Jim R. Tackett, PA-C located?
The NPPES record lists a practice address at 1101 Veterans Dr, Lexington, KY, 40502. Phone: (859) 233-4511. Providers update this record themselves, so call before visiting.
How can I verify Jim R. Tackett, PA-C's license?
NPPES lists Kentucky license number PA553, as entered by the provider. Search the Kentucky board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.