Lori Anne Tackman, MD
Pediatrics Physician · Supply, NC
Lori Anne Tackman, MD is a pediatrics physician with a practice address in Supply, North Carolina, and NPI 1497752968, issued on Jun 30, 2005. Check the license (North Carolina 2000-00146, as entered in NPPES) on the North Carolina Medical Board; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Lori Anne Tackman
- Credential
- MD
- Primary taxonomy
- Pediatrics Physician 208000000X
- License number
- 2000-00146 NC
Self-reported in NPPES; status is on the state search - Practice location
- 20 Medical Campus Dr NW Ste 205, Supply, NC 28462
- Phone
- (910) 721-4400
- Enumerated
- Jun 30, 2005
- Record last updated
- Oct 26, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (910) 721-4409
- Medicaid ID
- 89126WX NC
- Entity
- Type 1 · individual
8 nearest pediatrics physician records → All 2,356 in North Carolina → Look up another NPI →
Also registered at 20 Medical Campus Dr NW Ste 205
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Brian McKlindon, DNP, FNP-CStudent in an Organized Health Care Education/Training Program1922994151
- Nicole Nyberg, N.P.Nurse Practitioner1841615770
Verify Lori Anne Tackman in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNorth Carolina Medical Board
Search for license 2000-00146Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Lori Anne Tackman among 2,356 pediatrics physician records in North Carolina
Lori Anne Tackman, MD is one of 2,356 pediatrics physician records with a practice address in North Carolina. 35% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 89% newer
- In a Medicare fileNo · 35% of these records are
- In the CMS Doctors and Clinicians fileNo · 10% of these records are
- Record last updated2020 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
2 pediatrics physician records list a practice address in Supply
They are 2 of the 137 NPPES records with a practice address in Supply, and 2,356 pediatrics physician records in North Carolina. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 2,356 in North Carolina → Every provider in Supply → Pediatrics Physician nationwide →
The 8 pediatrics physician records with the nearest ZIP codes
- Joanne Peck, MDSupply, NC 284621790797108
- Thomas Verdin, MDCalabash, NC 284671437102720
- Sarah Bohrer, M.D.Ocean Isle Beach, NC 284691104133859
- Donald Ludlow, MDShallotte, NC 284701447208376
- Charita Csiky, MDWhiteville, NC 284721194773937
- Elizabeth Delouise, DOWhiteville, NC 284721699074872
- Emmanuel Eugenio, M.D.Whiteville, NC 284721174551733
- Alberto Leon, M.D.Whiteville, NC 284721326018912
Common questions
What is Lori Anne Tackman, MD's NPI number?
Lori Anne Tackman, MD's National Provider Identifier (NPI) is 1497752968, issued on Jun 30, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Lori Anne Tackman, MD located?
The NPPES record lists a practice address at 20 Medical Campus Dr NW Ste 205, Supply, NC, 28462. Phone: (910) 721-4400. Providers update this record themselves, so call before visiting.
How can I verify Lori Anne Tackman, MD's license?
NPPES lists North Carolina license number 2000-00146, as entered by the provider. Search the North Carolina Medical Board at https://portal.ncmedboard.org/verification/search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. 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.