Charles Tyler Thacker, DO - Medicare Emergency Medicine in Dalton, GA

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Charles Tyler Thacker, DO is a medicare enrolled "Emergency Medicine" physician in Dalton, Georgia. He graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Tennessee River Physicians, Pllc and his current practice location is 1200 Memorial Dr, Dalton, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 272-6000.

Charles Tyler Thacker is licensed to practice in Tennessee (license number 6328) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902501778.

Contact Information

Charles Tyler Thacker, DO
1200 Memorial Dr,
Dalton, GA 30720-2529
(706) 272-6000
Not Available

Map and Direction




Physician's Profile

Full NameCharles Tyler Thacker
GenderMale
SpecialityEmergency Medicine
Experience3 Years
Location1200 Memorial Dr, Dalton, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charles Tyler Thacker graduated from medical school in 2023
  NPI Data:
  • NPI Number: 1902501778
  • Provider Enumeration Date: 04/03/2023
  • Last Update Date: 09/03/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6507223781
  • Enrollment ID: I20250912000241

Medical Identifiers

Medical identifiers for Charles Tyler Thacker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902501778NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 109471 (Georgia)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207P00000XEmergency Medicine 6328 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tennessee River Physicians, Pllc802238734965

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charles Tyler Thacker allows following entities to bill medicare on his behalf.
Entity NameTennessee River Physicians, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396282463
PECOS PAC ID: 8022387349
Enrollment ID: O20170629002555

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Tyler Thacker is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles Tyler Thacker, DO
1200 Memorial Dr,
Dalton, GA 30720-2529

Ph: (706) 272-6000		Charles Tyler Thacker, DO
1200 Memorial Dr,
Dalton, GA 30720-2529

Ph: (706) 272-6000

Reviews and Comments


Emergency Medicine Doctors in Dalton, GA

Erin Nicole Graw, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Memorial Dr, Dalton, GA 30720
Phone: 706-272-6000    
James Francis Wojcik, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1200 Memorial Dr, Dalton, GA 30720
Phone: 706-278-2105    Fax: 865-291-3228
Jennifer Dark Starnes, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1508 N Thornton Ave, Dalton, GA 30720
Phone: 706-272-6158    
Jan Renee Mayfield, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1200 Memorial Dr, Dalton, GA 30720
Phone: 706-278-2105    Fax: 865-291-3228
Shawn Holsonback, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Memorial Dr, Dalton, GA 30720
Phone: 706-272-6000    
David E Ruiz, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1107 Memorial Dr, Suite 201, Dalton, GA 30720
Phone: 706-277-7311    Fax: 706-529-4837
Nedra R Dodds, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1200 Memorial Dr, Dalton, GA 30720
Phone: 706-278-2105    Fax: 865-291-3228

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.