Dr Michael Lacey MD P.C

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

DR MICHAEL LACEY MD P.C

Practice address

5887 Glenridge Drive
Suite 400
Sandy Springs, GA 30328

Phone

(404) 252-2666

Fax

(404) 252-0890

NPI assigned

Jun 21, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Judy H Disser

Title

Office Manager

Phone

(404) 252-2666

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Drs Lacey & Freschi PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dennis Michael Lacey, MD

  • Neurology Physician
  • Atlanta, GA
  • NPI 1083696082

  Specialist

  Medicare reassignment NPD
• Joan Burks, PA-C

  • Medical Physician Assistant
  • Atlanta, GA
  • NPI 1770526170
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1083650980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5887 GLENRIDGE DRIVE",
            "address_2": "SUITE 400",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "404-252-2666",
            "fax_number": "404-252-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5887 GLENRIDGE DRIVE",
            "address_2": "SUITE 400",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "404-252-2666",
            "fax_number": "404-252-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MICHAEL LACEY MD P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "DISSER",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-252-2666",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FRESCHI MEDICARE ID",
            "identifier": "13BDDDJ",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs Lacey & Freschi PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Neurology Physician in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.