Individual provider Active NPI

Gregory Lamont Lacy II, M.D.

  • Urology Physician
  • New Haven, CT
National Provider Identifier
1073564829
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
71573 Issued in CT
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

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2336495MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130814000957 LA Practitioner - Urology 4082856489 Reassigns benefits to 5 organizations

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
Administrators of the Tulane Educational FundGroup PAC ID 0446163760, 388 clinicians
South Louisiana Medical AssociatesGroup PAC ID 8527968650, 112 clinicians
New Orleans East Wellness Center, LLCGroup PAC ID 3870811920, 4 clinicians
LCMC Health Clinical Services LLCGroup PAC ID 3274883681, 12 clinicians

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 Hospital, Houma, LA, CCN 190183
  • New Orleans East Hospital Hospital, New Orleans, LA, CCN 190313
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036
  • Ochsner St Anne General Hospital Hospital, Raceland, LA, CCN 191324

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15489RLAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Louisiana Medical Associates CurrentSince Aug 1, 2013 Accepting new patients
New Orleans East Wellness Center, LLC CurrentSince Mar 11, 2018 Accepting new patients
LCMC Health Clinical Services, LLC CurrentSince Jul 20, 2018 Accepting new patients
South Louisiana Medical Associates CurrentSince Aug 1, 2013 Accepting new patients
Ambulatory Medical Group CurrentSince May 26, 2024 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince May 8, 2018 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince May 8, 2018 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

  • FHIR API: https://api.platform.athenahealth.com/10617/brand/1/csg/1/fhir/r4
  • Direct secure messaging: glacy5338141@direct.casso.us.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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

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

Verify at the official NPI Registry.