Individual provider Active NPI

Lachlan Macleay Jr., M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Fleming Island, FL
National Provider Identifier
1215023767
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME161572 Issued in FL
Practice address
1771 Baptist Clay Dr
Fleming Island, FL 32003-8501
Phone
(904) 516-1273
Fax
(904) 516-1534
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A43788 CA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD2021-1022 NM
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME161572 FL Primary

Addresses

Primary practice location

1771 Baptist Clay Dr
Fleming Island, FL 32003-8501

Mailing address

Baptist Medical Center Clay
1771 Baptist Clay Dr.
Fleming Island, FL 32003
Phone (904) 516-1273

Other identifiers 1

IdentifierTypeStateIssuer
00A437880MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240410003961 FL Practitioner - Pathology 8527182518 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

203 Indigo Dr
Brunswick, GA 31525-6865

6801 Breacksville Rd
Independence, OH 44131-5058

6801 Brecksville Rd
Suite 20
Independence, OH 44131-5062

Hospital & facility affiliations

  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A43788CAMDAnatomic Pathology & Clinical Pathology Physician
MD2021-1022NMMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indian River Health Services Inc CurrentSince Dec 16, 2024 Accepting new patients
Cleveland Clinic Florida a Nonprofit Corporation CurrentSince Dec 16, 2024 Accepting new patients
Indian River Health Services Inc CurrentSince Dec 16, 2024 Accepting new patients
Southeastern Pathology Associates PC Anatomic Pathology & Clinical Pathology CurrentSince Apr 3, 2024 Accepting new patients

Locations

1250 S 18th St
Fernandina Beach, FL 32034
Phone (904) 202-2087

801 Oak St
Green Cv Spgs, FL 32043
Phone (904) 215-7015

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

1771 Baptist Clay Dr
Orange Park, FL 32003
Phone (904) 516-1000

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

1000 36th St
Ste 2234
Vero Beach, FL 32960
Phone (954) 689-5173

3100 Weston Rd
Weston, FL 33331
Phone (954) 689-5000

2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

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.

Hospital & facility affiliations 1

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1215023767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BAPTIST MEDICAL CENTER CLAY",
            "address_2": "1771 BAPTIST CLAY DR.",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "32003",
            "telephone_number": "904-516-1273",
            "fax_number": "904-516-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 BAPTIST CLAY DR",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038501",
            "telephone_number": "904-516-1273",
            "fax_number": "904-516-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLEAY",
        "first_name": "LACHLAN",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A43788",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NM",
            "license": "MD2021-1022",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME161572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A437880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

Verify at the official NPI Registry.