Active NPI
Robert George Lucking, MD
- Psychiatry Physician
- Butner, NC
National Provider Identifier
1053621532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301042213
- Practice address
- FMC Butner
Old Highway 75
Butner, NC 27509 - Phone
- (919) 575-3900
- Fax
- (919) 575-4840
- NPI assigned
- Oct 18, 2010
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301042213 | MI | Primary |
Addresses
Primary practice location
FMC Butner
Old Highway 75
Butner, NC 27509
Mailing address
4612 Groundnut Court
Raleigh, NC 27509
Phone (919) 575-3900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301042213 | MI | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287360000000",
"number": "1053621532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4612 GROUNDNUT COURT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27509",
"telephone_number": "919-575-3900",
"fax_number": "919-575-4840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FMC BUTNER",
"address_2": "OLD HIGHWAY 75",
"city": "BUTNER",
"state": "NC",
"postal_code": "27509",
"telephone_number": "919-575-3900",
"fax_number": "919-575-4840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCKING",
"first_name": "ROBERT",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-18",
"last_updated": "2010-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301042213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.