Lori Tackman, MD
NPI 1497752968 · Pediatrics Physician · Supply, NC
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lori Tackman, MD is a Pediatrics Physician provider in Supply, NC (NPI 1497752968).
Provider details
- NPI number
- 1497752968
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2000-00146 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Mailing address
Additional practice locations (2)
- 97 Cornerstone DrCary, NC 27519-8403Phone: (919) 460-0993Fax: (919) 481-3952
- 97 Cornerstone DrCary, NC 27519-8403Phone: (919) 460-0993Fax: (919) 481-3952
Registry dates
- Enumerated
- 2005-06-30
- Last updated
- 2020-10-26
- Certified
- 2020-09-06
Frequently asked questions
- What is Lori Tackman's NPI number?
- Lori Tackman's National Provider Identifier (NPI) is 1497752968, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lori Tackman's specialty?
- Lori Tackman is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Lori Tackman located?
- Lori Tackman's practice location on file with NPPES is 20 Medical Campus Dr Nw Ste 205, Supply, NC 28462.
- What is Lori Tackman's phone number?
- The practice phone number listed in the NPPES registry for Lori Tackman is (910) 721-4400.
- Does Lori Tackman accept Medicare?
- Lori Tackman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lori Tackman's NPI active?
- Yes — Lori Tackman's NPI (1497752968) is active in the NPPES registry as of the last update on 2020-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.