NPIMap

Individual provider Active NPI

Matthew Justin Lucas, NP-C, DNP

  • Internal Medicine Physician
  • Southport, NC
National Provider Identifier
1245776814
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5009206 Issued in NC
Practice address
801 N Howe St Ste 5
Southport, NC 28461-3351
Phone
(910) 622-0952
NPI assigned
Jan 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5009206 NC Primary
Nurse Practitioner 363L00000X 5009206 NC
Family Nurse Practitioner 363LF0000X 5009206 NC

Addresses

Primary practice location

801 N Howe St Ste 5
Southport, NC 28461-3351

Mailing address

801 N Howe St Ste 5
Southport, NC 28461-3351
Phone (910) 477-6002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20170403001948 NC Practitioner - Nurse Practitioner 0143506238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

801 N Howe St
Suite 5
Southport, NC 28461-3351
Phone (910) 477-6002

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Coastal Concierge Health, PLLC Internal Medicine CurrentSince Aug 8, 2024 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

801 N Howe St
Ste 5
Southport, NC 28461
Phone (910) 477-6002

Interoperability endpoints

  • Direct secure messaging: matthew.lucas.1@32018.direct.athenahealth.com
  • Direct secure messaging: mlucas1720506@direct.novanthealth.org

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 7

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": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1245776814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N HOWE ST STE 5",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613351",
            "telephone_number": "910-477-6002",
            "fax_number": "833-974-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N HOWE ST STE 5",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613351",
            "telephone_number": "910-622-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "MATTHEW",
        "middle_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "NP-C, DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-06",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "5009206",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5009206",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, NC

Sources for this page

Verify at the official NPI Registry.