Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063505352 Individual Practitioner Female Practitioner

Susan Denise Tackett , CPED

Contractor • Monroe, GA

Professional Overview & Biography Verified Profile Summary

Susan Tackett, CPED is a registered healthcare professional specializing in Contractor in Monroe, GA. Practice services are available at 696 BREEDLOVE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

696 Breedlove Dr
Suite B5

Monroe, GA 306552052

Telephone 4047137011
Fax 7702077196

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Monroe, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Monroe, GA (727 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Mark Shaffer , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1023015146

Doctor of Podiatric Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 696 BREEDLOVE DR, SUITE B5, MONROE, GA 306552052 (Tel: 4047137011)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3551 APALACHEE RDG, MONROE, GA 306568535 (Tel: 4047137011)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SUSAN TACKETT, CPED

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Contractor

🟢
Initial NPI Registration & Enumeration October 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063505352
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 01, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

3551 Apalachee Rdg

Monroe, GA 306568535

Phone: 4047137011

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.