IndividualActive
John Thacker, USAF IDMT
NPI 1023771615 · Independent Duty Medical Technicians · Robins Afb, GA
Provider details
- NPI number
- 1023771615
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- USAF IDMT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
655 7th St Unit 700
Robins Afb, GA 31098-2227
Phone: (606) 923-3485
Approximate (ZIP-level) locationGet directions
Mailing address
200 Saint Augustine Dr
Bonaire, GA 31005-3782
Registry dates
- Enumerated
- 2021-10-20
- Last updated
- 2021-10-20
- Certified
- 2021-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.