Active NPI
John Lacson
- Family Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 009179
- Practice address
- 2927 N 7TH Ave
Phoenix, AZ 85013-4102 - Phone
- (602) 406-3153
- Fax
- (602) 406-7176
- NPI assigned
- Apr 19, 2018
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OT18912 | PA | |
| Family Medicine Physician | 207Q00000X | 009179 | AZ | Primary |
Addresses
Primary practice location
2927 N 7TH Ave
Phoenix, AZ 85013-4102
Mailing address
PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | john.lacson.1@29601.direct.athenahealth.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- 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
- Family Practice
- Education
- Lake Erie Col of Osteo Med at Seton Hill Univ, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3435 Wrightsboro Rd
Suite 1202
Augusta, GA 30909-2519
Phone (706) 445-2349
Hospital & facility affiliations
- Piedmont Augusta Hospital
- Doctors Hospital
- Wellstar MCG Health, Affiliated With Med Col
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009179 | AZ | MD | Family Medicine Physician |
| OT18912 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerwell Senior Primary Care Ga PC | Family Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care Ga PC | Family Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care Ga PC | Family Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care Ga PC | Family Medicine | Past | Accepting new patients |
Locations
6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836
3435 Wrightsboro Rd
Ste 1202
Augusta, GA 30909
Phone (706) 445-2349
1821 Mount Zion Rd
Morrow, GA 30260
Phone (470) 754-6380
Interoperability endpoints
- john.lacson.1@29601.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- South Fulton, GA
- NPI 1801463468
Family Medicine
-
- Internal Medicine Physician
- Woodstock, GA
- NPI 1689491680
Family Medicine
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1952978520
Family Medicine
-
- Internal Medicine Physician
- Miami, FL
- NPI 1336713700
Family Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1437135902
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1912951963
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1588665566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1104313634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33269",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850673269",
"telephone_number": "602-406-4786",
"fax_number": "916-636-4358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2927 N 7TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134102",
"telephone_number": "602-406-3153",
"fax_number": "602-406-7176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACSON",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-19",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "OT18912",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "009179",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "john.lacson.1@29601.direct.athenahealth.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "3435 Wrightsboro Rd",
"city": "Augusta",
"state": "GA",
"country_code": "US",
"postal_code": "309092518",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.