NPIMap

Individual provider Active NPI

Juan Carlos Lacayo, M.D.

  • Neurology Physician
  • Loganville, GA
National Provider Identifier
1245427178
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
65835 Issued in GA
Practice address
3525 Highway 81
Loganville, GA 30052-4336
Phone
(678) 905-9625
Fax
(770) 674-5880
NPI assigned
Sep 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME101028 FL
Neurology Physician 2084N0400X 65835 GA Primary

Addresses

Primary practice location

3525 Highway 81
Loganville, GA 30052-4336

Mailing address

3525 Highway 81
Loganville, GA 30052-4336
Phone (678) 905-9625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111020000013 GA Practitioner - Neurology 1951583301 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Medical College of Georgia School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alcovy NeurologyGroup PAC ID 8224201231, 3 clinicians

Practice addresses (Care Compare)

3525 Hwy 81
Loganville, GA 30052-4336
Phone (678) 905-9625

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.77 of 100Reported as individual
Quality
78.56
Promoting interoperability
100
Improvement activities
40
Cost
67.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME101028FLMDNeurology Physician
65835GAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alcovy Neurology Neurology CurrentSince Aug 2, 2011 Accepting new patients
24 On Physicians, PC CurrentSince Jan 1, 2018 Accepting new patients
24 On Physicians, P.C. CurrentSince Jan 1, 2018 Accepting new patients
Peach State Retina, LLC PastSince May 18, 2025 Accepting new patients

Locations

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

3535 Highway 81
Loganville, GA 30052
Phone (678) 905-9625

3525 Highway 81
Loganville, GA 30052
Phone (678) 325-1074

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3403/brand/1/csg/1/fhir/r4
  • Direct secure messaging: juan.lacayo.1@3403.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1245427178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 HIGHWAY 81",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524336",
            "telephone_number": "678-905-9625",
            "fax_number": "770-674-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 HIGHWAY 81",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524336",
            "telephone_number": "678-905-9625",
            "fax_number": "770-674-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACAYO",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME101028",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "65835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loganville, GA

Sources for this page

Verify at the official NPI Registry.