Jeffrey S Lackey, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

21294 Issued in SC

Practice address

300 Singleton Ridge Rd
Conway, SC 29526-9142

Phone

(843) 238-8660

NPI assigned

Dec 16, 2005

Last updated

Aug 8, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 12

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Diagnostic Radiology

Education

Medical University of South Carolina College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Carolina Radiology Associates LLCGroup PAC ID 1658350764, 63 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLeod Loris Hospital Hospital, Loris, SC, CCN 420105
• Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085
• Conway Medical Center Hospital, Conway, SC, CCN 420049
• McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
• CCN 420117 Hospital, CCN 420117

Merit-based Incentive Payment System (MIPS)

Final score

89.13 of 100Reported as group

Quality

100

Improvement activities

40

Cost

63.77

Merit-based Incentive Payment System (MIPS)

Final score

80.41 of 100Reported as group

Quality

64.93

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 28)

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.

• Carolina Radiology Associates LLC

  • Diagnostic Radiology Physician
  • Conway, SC
  • NPI 1225014657

  Diagnostic Neuroimaging

  Medicare reassignment Care Compare group NPD
• Musc Community Physicians

  dba MUSC Community Physicians Specialty

  • Internal Medicine Physician
  • Bamberg, SC
  • NPI 1841878006

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Musc Community Physicians

  dba MUSC Health Primary Care - Bowman

  • Rural Health Clinic/Center
  • Bowman, SC
  • NPI 1225735772
  NPD
• Musc Community Physicians

  dba MUSC Community Physicians PC

  • Family Medicine Physician
  • Bamberg, SC
  • NPI 1992383145
  NPD
• Carolina Forest Imaging Center LLC

  • Diagnostic Radiology Physician
  • Myrtle Beach, SC
  • NPI 1942491303
  NPD (past)

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

• Conway Hospital, Inc

  dba CMC ENT

  • Otolaryngology Physician
  • Conway, SC
  • NPI 1760459028

  Hospital

  Care Compare affiliation
• Conway Hospital, Inc.

  dba CMC Weight Loss

  • Surgery Physician
  • Conway, SC
  • NPI 1043977200

  Hospital

  Care Compare affiliation
• Conway Hospital, Inc.

  dba CMC Primary Care Church Street

  • Internal Medicine Physician
  • Conway, SC
  • NPI 1073219325

  Hospital

  Care Compare affiliation
• Conway Hospital, Inc.

  dba Conway Medical Center

  • General Acute Care Hospital
  • Conway, SC
  • NPI 1134172000
  Care Compare affiliation
• Conway Hospital, Inc.

  dba CMC Acute Care Rehab

  • Rehabilitation Hospital Unit
  • Conway, SC
  • NPI 1154991487
  Care Compare affiliation
• Conway Hospital, Inc.

  dba CMC Embrace Hospice

  • Community Based Hospice Care Agency
  • Conway, SC
  • NPI 1164121935

  Hospital

  Care Compare affiliation
• Conway Hospital, Inc.

  dba CMC Orthopaedics

  • Orthopaedic Surgery Physician
  • Conway, SC
  • NPI 1316221500

  Hospital

  Care Compare affiliation
• Conway Hospital, Inc.

  dba CMC Primary Care Myrtle Trace

  • Family Medicine Physician
  • Conway, SC
  • NPI 1548573322

  Hospital

  Care Compare affiliation
• Conway Hospital, Inc.

  dba CMC Primary Care Bellamy Avenue

  • Family Medicine Physician
  • Murrells Inlet, SC
  • NPI 1548963853

  Hospital

  Care Compare affiliation
• Conway Hospital, Inc.

  dba CMC Surgical Associates

  • Surgery Physician
  • Conway, SC
  • NPI 1649742321

  Hospital

  Care Compare affiliation
• Conway Hospital, Inc.

  dba CMC Primary Care Conway

  • Family Medicine Physician
  • Conway, SC
  • NPI 1659762227

  Hospital

  Care Compare affiliation
• Conway Hospital, Inc.

  dba CMC Primary Care Towne Center

  • Family Medicine Physician
  • Myrtle Beach, SC
  • NPI 1902047277

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407456000000",
    "number": "1184600587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51030",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295790018",
            "telephone_number": "843-238-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-238-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKEY",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2014-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "21294",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "SC",
            "license": "21294",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "SC",
            "license": "21294",
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "SC",
            "license": "21294",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "SC",
            "license": "21294",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "SC",
            "license": "21294",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "SC",
            "license": "21294",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "SC",
            "license": "21294",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "SC",
            "license": "21294",
            "primary": false
        },
        {
            "code": "2085R0205X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiological Physics",
            "state": "SC",
            "license": "21294",
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "SC",
            "license": "21294",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "SC",
            "license": "21294",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Leonard Krzyzaniak, M.D.
• Dhruva Kumbhani, AUD
• Jennifer O Kuperman, M.D.
• Paul M Kuperman, MD
• Stacey Elizabeth Lacey
• Kim Marie Lafler, BSN
• Lara Lagan, RN
• Emmett Michael Lampkin, MD
• Honey Valarie Lance
• Hannah Lane, OD

• Diagnostic Radiology Physician in Conway, SC
• Providers in Conway, SC by specialty
• Diagnostic Radiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.

Verify at the official NPI Registry.