Doctor profile · Federal record
Dr. Jim Tackett, PA-C
Physician Assistant · Lexington, KY
- NPI 1104882083
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1101 Veterans Dr
Lexington, KY 405022235
(859) 233-4511 - Mailing address
-
2150 Elmfork RD
Nicholasville, KY 403569619
Credentials & registration
- NPI registered
- April 2006 — 20 yrs on file
- Profile last updated
- February 24, 2011
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Kentucky #PA553
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104882083. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$943
Transactions
7
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 5 | $806.44 | |
| Spr Therapeutics, INC | 1 | $109.07 | |
| Spinal Simplicity, LLC | 1 | $27.04 |
By nature of payment
Frequently asked questions
What is Dr. Jim Tackett's medical specialty?
Dr. Jim Tackett practices Physician Assistant in Lexington, KY.
Where does Dr. Jim Tackett practice?
Dr. Jim Tackett practices at 1101 Veterans Dr, Lexington, KY 405022235. Office phone: 8592334511.
What is Dr. Jim Tackett's NPI?
Dr. Jim Tackett's National Provider Identifier (NPI) is 1104882083, issued by NPPES.