Active NPI
Gregory Lamont Lacy II, M.D.
- Urology Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 71573
- Practice address
- 800 Howard Ave
New Haven, CT 06519-1369 - Phone
- (203) 785-2815
- Fax
- (203) 785-4043
- NPI assigned
- May 15, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 15489R | LA | |
| Urology Physician | 208800000X | 71573 | CT | Primary |
Addresses
Primary practice location
800 Howard Ave
New Haven, CT 06519-1369
Mailing address
1990 Industrial Blvd
Houma, LA 70363-7055
Phone (985) 868-9300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2336495 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | amber.martin@yale.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Tulane University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1415 Tulane Ave
New Orleans, LA 70112-2600
1990 Industrial Blvd
Houma, LA 70363-7055
Phone (985) 868-9300
2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 988-5224
306 W Judge Perez Dr
Chalmette, LA 70043-4906
Phone (504) 518-5822
5620 Read Blvd
New Orleans, LA 70127-3106
Phone (504) 592-6437
5646 Read Blvd
Suite 380
New Orleans, LA 70127-3148
Phone (504) 518-5822
Hospital & facility affiliations
- Leonard J Chabert Medical Center
- New Orleans East Hospital
- Ochsner Medical Center Acute
- Ochsner St Anne General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15489R | LA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Louisiana Medical Associates | Current | Accepting new patients | |
| New Orleans East Wellness Center, LLC | Current | Accepting new patients | |
| LCMC Health Clinical Services, LLC | Current | Accepting new patients | |
| South Louisiana Medical Associates | Current | Accepting new patients | |
| Ambulatory Medical Group | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| La Pain Doctor Inc | Past | Accepting new patients |
Locations
2430 Paris Rd
Chalmette, LA 70043
Phone (504) 324-8870
306 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 309-6270
1500 Lafayette St
Ste 141
Gretna, LA 70053
Phone (504) 363-3334
1990 Industrial Blvd
Houma, LA 70363
Phone (985) 868-9300
4224 Houma Blvd
Ste 640
Metairie, LA 70006
Phone (504) 456-5120
1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300
2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287
5646 Read Blvd
Ste 200
New Orleans, LA 70127
Phone (504) 241-1127
2000 Canal St
Fl Fifth
New Orleans, LA 70112
5646 Read Blvd
Ste 360
New Orleans, LA 70127
Phone (504) 518-5822
5620 Read Blvd
Fl 6
New Orleans, LA 70127
Phone (225) 927-0567
5620 Read Blvd
New Orleans, LA 70127
Phone (504) 241-2664
5646 Read Blvd
Ste 380
New Orleans, LA 70127
Phone (504) 518-5822
4023 Behrman Pl
Ste M1
New Orleans, LA 70114
Phone (504) 827-1888
1806 Lindberg Dr
Ste E
Slidell, LA 70458
Phone (504) 518-5822
Networks
- LA PPO C-SNP
Interoperability endpoints
- https://api.platform.athenahealth.com/10617/brand/1/csg/1/fhir/r4
- glacy5338141@direct.casso.us.com
- gregory.lacy.1@10617.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Specialist
- New Orleans, LA
- NPI 1528014164
-
- Obstetrics & Gynecology Physician
- New Orleans, LA
- NPI 1417446501
-
- Primary Care Clinic/Center
- New Orleans, LA
- NPI 1467850743
-
- Surgery Physician
- Houma, LA
- NPI 1942301379
-
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1871265694
-
- Specialist
- Hattiesburg, MS
- NPI 1033395298
-
- Durable Medical Equipment & Medical Supplies
- Houma, LA
- NPI 1699218131
-
- Pain Medicine Physician
- La Place, LA
- NPI 1760856215
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obstetrics & Gynecology Physician
- New Orleans, LA
- NPI 1417446501
Hospital
-
- Critical Access Hospital
- Raceland, LA
- NPI 1396761805
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1225450588
-
- General Acute Care Hospital
- Houma, LA
- NPI 1326485749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656979200000",
"number": "1073564829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1990 INDUSTRIAL BLVD",
"city": "HOUMA",
"state": "LA",
"postal_code": "703637055",
"telephone_number": "985-868-9300",
"fax_number": "985-851-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 HOWARD AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191369",
"telephone_number": "203-785-2815",
"fax_number": "203-785-4043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACY",
"first_name": "GREGORY",
"middle_name": "LAMONT",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2022-07-05",
"certification_date": "2022-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "LA",
"license": "15489R",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CT",
"license": "71573",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2336495",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "amber.martin@yale.edu",
"affiliation": "N",
"address_1": "800 Howard Ave",
"city": "New Haven",
"state": "CT",
"country_code": "US",
"postal_code": "065191369",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.