IndividualActive
Susan Tackett, CPED
NPI 1063505352 · Contractor · Monroe, GA
Susan Tackett, CPED is a Contractor provider in Monroe, GA (NPI 1063505352).
Provider details
- NPI number
- 1063505352
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- CPED
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
696 Breedlove Dr
Suite B5
Monroe, GA 30655-2052
Phone: (404) 713-7011
Fax: (770) 207-7196
Street-level locationGet directions
Mailing address
3551 Apalachee Rdg
Monroe, GA 30656-8535
Registry dates
- Enumerated
- 2006-10-01
- Last updated
- 2007-07-08
Frequently asked questions
- What is Susan Tackett's NPI number?
- Susan Tackett's National Provider Identifier (NPI) is 1063505352, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susan Tackett's specialty?
- Susan Tackett is listed in the NPPES registry with a primary specialty of Contractor (Other Service Providers).
- Where is Susan Tackett located?
- Susan Tackett's practice location on file with NPPES is 696 Breedlove Dr, Monroe, GA 30655-2052.
- What is Susan Tackett's phone number?
- The practice phone number listed in the NPPES registry for Susan Tackett is (404) 713-7011.
- Is Susan Tackett's NPI active?
- Yes — Susan Tackett's NPI (1063505352) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.