Individual provider Active NPI

Christopher I Lacy, MD

  • Diagnostic Radiology Physician
  • New London, CT
National Provider Identifier
1073590295
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
045865 Issued in GA
Practice address
365 Montauk Ave
New London, CT 06320-4700
Phone
(860) 442-0711
NPI assigned
Dec 29, 2005
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 045865 GA Primary

Addresses

Primary practice location

365 Montauk Ave
New London, CT 06320-4700

Mailing address

PO Box 410197
Boston, MA 02241-1097

Other practice location 1

25 Wells St
Westerly, RI 02891-2922
Phone (401) 569-6000

Other practice location 2

11 Upper Riverdale Rd SW
Riverdale, GA 30274-2615
Phone (770) 991-8000

Other identifiers 1

IdentifierTypeStateIssuer
000799499MedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, RI, CT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100609000759 GA Practitioner - Diagnostic Radiology 8426188905 Reassigns benefits to 1 organization
I20190614000845 RI Practitioner - Diagnostic Radiology 8426188905 Reassigns benefits to 1 organization
I20190819000459 CT Practitioner - Diagnostic Radiology 8426188905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Georgia School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocean Radiology Associates PCGroup PAC ID 1951315779, 26 clinicians

Practice addresses (Care Compare)

25 Wells St
Westerly, RI 02891-2922
Phone (860) 442-0711

365 Montauk Ave
New London, CT 06320-4700
Phone (860) 442-0711

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61.78 of 100Reported as individual
Quality
49.2
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045865GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Radiology Associates Diagnostic Radiology CurrentSince Dec 1, 2000 Accepting new patients
Henry County Radiology Associates Diagnostic Radiology CurrentSince Dec 1, 2000 Accepting new patients
Ocean Radiology Associates PC Diagnostic Radiology CurrentSince Jun 1, 2019 Accepting new patients
Stephen W. Brown and Radiology Associates of Augusta LLP Diagnostic Radiology Past Accepting new patients
Elite Imaging, LLC Diagnostic Radiology Past Accepting new patients

Locations

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

1984 Peachtree Rd NW
Ste 505
Atlanta, GA 30309
Phone (404) 352-1409

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

119 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 991-1010

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

25 Wells St
Westerly, RI 02891
Phone (401) 348-3325

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: clacy429683@direct.ynhh.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1073590295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410197",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022411097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204700",
            "telephone_number": "860-442-0711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Wells St",
            "address_purpose": "LOCATION",
            "city": "Westerly",
            "state": "RI",
            "postal_code": "028912922",
            "country_code": "US",
            "telephone_number": "401-569-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Upper Riverdale Rd SW",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "GA",
            "postal_code": "302742615",
            "country_code": "US",
            "telephone_number": "770-991-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACY",
        "first_name": "CHRISTOPHER",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "045865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000799499",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.