Active NPI
Steven Michael Tackett, APRN
- Acute Care Nurse Practitioner
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- F25200
- Practice address
- 1 Richland Medical Park Dr Ste 300
Columbia, SC 29203-6831 - Phone
- (803) 434-7910
- Fax
- (803) 933-3022
- NPI assigned
- Jul 21, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | F25200 | SC | Primary |
Addresses
Primary practice location
1 Richland Medical Park Dr Ste 300
Columbia, SC 29203-6831
Mailing address
2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2000
Other practice location 1
2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stackett110298@direct.lexmed.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Richland Medical Park Dr
Suite 300
Columbia, SC 29203-6831
Phone (803) 434-3320
2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2350
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.09 of 100
- Quality
- 68.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F25200 | SC | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington County Health Services District Inc | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients |
Locations
1333 Taylor St
Ste 6F
Columbia, SC 29201
Phone (803) 296-3273
100 Palmetto Health Pkwy
Ste G100
Columbia, SC 29212
Phone (803) 296-3273
1 Richland Medical Park Dr
Ste 300
Columbia, SC 29203
Phone (803) 434-7910
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230
2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480
Interoperability endpoints
- stackett110298@direct.lexmed.com
- stackett826027@direct.ghs.myhfn.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Lexington Orthopaedic and Sports Medicine
- Sports Medicine (Orthopaedic Surgery) Physician
- West Columbia, SC
- NPI 1710634753
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
-
dba Lexington Medical Center
- General Acute Care Hospital
- West Columbia, SC
- NPI 1356366314
-
dba Carolina Pulmonary and Critical Care
- Pulmonary Disease Physician
- West Columbia, SC
- NPI 1386242493
-
dba Lexington Internal Medicine
- Internal Medicine Physician
- West Columbia, SC
- NPI 1942190988
-
dba PH Dentistry
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lexington Medical Center
- General Acute Care Hospital
- West Columbia, SC
- NPI 1386241834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1750954418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 SUNSET BLVD",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291694810",
"telephone_number": "803-791-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RICHLAND MEDICAL PARK DR STE 300",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036831",
"telephone_number": "803-434-7910",
"fax_number": "803-933-3022"
}
],
"practiceLocations": [
{
"address_1": "2720 Sunset Blvd",
"address_purpose": "LOCATION",
"city": "West Columbia",
"state": "SC",
"postal_code": "291694810",
"country_code": "US",
"telephone_number": "803-791-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TACKETT",
"first_name": "STEVEN",
"middle_name": "MICHAEL",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-21",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "SC",
"license": "F25200",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stackett110298@direct.lexmed.com",
"affiliation": "N",
"address_1": "2720 Sunset Blvd",
"city": "West Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "291694810",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.