Individual provider Active NPI

John Fair Lucas III, M.D.

  • Surgery Physician
  • Greenwood, MS
National Provider Identifier
1093734840
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
09898 Issued in MS
Practice address
501 W Washington St
Greenwood, MS 38930-4237
Phone
(662) 453-4641
Fax
(662) 455-4731
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 09898 MS Primary

Addresses

Primary practice location

501 W Washington St
Greenwood, MS 38930-4237

Mailing address

501 W Washington St
Greenwood, MS 38930-4237
Phone (662) 453-4641

Other identifiers 1

IdentifierTypeStateIssuer
00013434MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20110831000007 MS Practitioner - General SurgeryPractitioner - Vascular Surgery 0345426672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Duke University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenwood Leflore HospitalGroup PAC ID 8527238633, 2 clinicians

Practice addresses (Care Compare)

1401 River Rd 4TH Floor E
Lucas Surgical Group
Greenwood, MS 39030-4030
Phone (662) 453-4641

Hospital & facility affiliations

  • Greenwood Leflore Hospital Hospital, Greenwood, MS, CCN 250099
  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
99.18
Improvement activities
40
Cost
79.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09898MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwood Leflore Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: john.lucasiii.p1@direct.glh.nextgenshare.com

Organizations & group practices 2

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 2

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093734840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W WASHINGTON ST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304237",
            "telephone_number": "662-453-4641",
            "fax_number": "662-455-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W WASHINGTON ST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304237",
            "telephone_number": "662-453-4641",
            "fax_number": "662-455-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "JOHN",
        "middle_name": "FAIR",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "09898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00013434",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, MS

Sources for this page

Verify at the official NPI Registry.