Active NPI
Deborah Maria Lucas, MD
- Diagnostic Radiology Physician
- Salisbury, NC
National Provider Identifier
1225032089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 9700366
- Practice address
- WG 'Bill' Hefner Vamc
1601 Brenner Ave
Salisbury, NC 28144 - Phone
- (704) 638-9000
- NPI assigned
- Jun 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | 9700366 | NC | |
| Diagnostic Ultrasound Physician | 2085U0001X | 9700366 | NC | |
| Diagnostic Radiology Physician | 2085R0202X | 9700366 | NC | Primary |
Addresses
Primary practice location
WG 'Bill' Hefner Vamc
1601 Brenner Ave
Salisbury, NC 28144
Mailing address
108 Waverly Cir
Salisbury, NC 28144-9419
Phone (704) 639-9313
Other practice location 1
3801 W Market St
Greensboro, NC 27407-1301
Phone (336) 852-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8953164 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9700366 | NC | MD | Nuclear Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Radiological Associates, P.a. | Diagnostic Radiology | Past | Accepting new patients |
| Southeastern Overread Services PLLC | Nuclear Radiology | Past | Accepting new patients |
| Southeastern Radiology PA | Diagnostic Radiology | Past | Accepting new patients |
| Reidsville Imaging Center, LLC | Past | Accepting new patients |
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.
-
- Diagnostic Radiology Physician
- Salisbury, NC
- NPI 1194788935
Diagnostic Radiology
-
- Body Imaging Physician
- Reidsville, NC
- NPI 1508807249
-
- Diagnostic Radiology Physician
- Greensboro, NC
- NPI 1265625818
Nuclear Radiology
-
- Diagnostic Radiology Physician
- Greensboro, NC
- NPI 1669476453
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1225032089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 WAVERLY CIR",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281449419",
"telephone_number": "704-639-9313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WG 'BILL' HEFNER VAMC",
"address_2": "1601 BRENNER AVE",
"city": "SALISBURY",
"state": "NC",
"postal_code": "28144",
"telephone_number": "704-638-9000"
}
],
"practiceLocations": [
{
"address_1": "3801 W Market St",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274071301",
"country_code": "US",
"telephone_number": "336-852-3300",
"fax_number": "336-852-0651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCAS",
"first_name": "DEBORAH",
"middle_name": "MARIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-09",
"last_updated": "2022-06-03",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "NC",
"license": "9700366",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "NC",
"license": "9700366",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "9700366",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8953164",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.