Whitney Jo Tackett, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1824 Issued in KY

Practice address

196 Bevins LN Ste F
Georgetown, KY 40324-8534

Phone

(502) 863-2818

Fax

(502) 863-2764

NPI assigned

Jun 18, 2013

Last updated

Sep 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Kentucky College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kentucky Mso LLCGroup PAC ID 0749450633, 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Georgetown Community Hospital Hospital, Georgetown, KY, CCN 180101

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: whitney.tackett.1@19475.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kentucky Mso LLC

  dba Gastroenterology and Hepatology of the Bluegrass

  • Gastroenterology Physician
  • Georgetown, KY
  • NPI 1164867883
  Medicare reassignment Care Compare group
• University of Kentucky

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1770771974
  Medicare reassignment NPD
• Central Emergency Physicians, PSC

  • Emergency Medicine Physician
  • Lexington, KY
  • NPI 1346371762
  Medicare reassignment
• Medycus Staffing PLLC

  dba Thoroughbred Emergency Services

  • Emergency Medicine Physician
  • Cynthiana, KY
  • NPI 1437859162
  Medicare reassignment
• Kentucky Mso LLC

  dba Centerpoint Family Medicine - Lawrenceburg

  • Rural Health Clinic/Center
  • Lawrenceburg, KY
  • NPI 1922860758
  NPD
• Kentucky Mso, LLC

  • Cardiovascular Disease Physician
  • Georgetown, KY
  • NPI 1679902340

  Physician Assistant

  NPD
• Kentucky Mso LLC

  dba Versailles General Surgery

  • Surgery Physician
  • Versailles, KY
  • NPI 1841570363
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Georgetown Community Hospital LLC

  dba Gerogetown Community Hospital

  • Rural Acute Care Hospital
  • Georgetown, KY
  • NPI 1326107319
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1295174720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 BEVINS LN STE F",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248534",
            "telephone_number": "502-863-2818",
            "fax_number": "502-863-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 BEVINS LN STE F",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248534",
            "telephone_number": "502-863-2818",
            "fax_number": "502-863-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACKETT",
        "first_name": "WHITNEY",
        "middle_name": "JO",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supported Choices, LLC
• Daniel P Sutton, PT
• Darby Swan, CD
• Lacey Sweigart, MD
• Synergy Psychiatry and Wellness, PLLC
• Courtney Tadic, PA-C
• Carla Talavera, CADC
• Allan Wei Tao, PHARMD
• Ashley Taylor, ATC
• Jordyn Cheyenne Taylor, APRN

• Physician Assistant in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.