NPI age
19 years
Enumerated 2006-10-01
● Active
Type 1 · Individual
MRS. Susan Denise Tackett, CPED
Tackett is 1 of 3 contractor providers in Monroe and 1 of 751 in Georgia.
Primary specialty
Contractor
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 751 active contractor providers in Georgia.
NPI age
19 years
↑ 12 yr above median (7 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Practice location
696 Breedlove Dr, Suite B5
Monroe, GA 306552052
Mailing address
3551 Apalachee Rdg
Monroe, GA 306568535
Specialties
-
Contractor PrimaryFor the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.