Individual provider Active NPI

Tammy Gail Lucas, AG-ACNP, ENP, WHNP

  • Family Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1306377999
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5009533 Issued in NC
Practice address
7300 Raeford Rd
Fayetteville, NC 28304-0807
Phone
(910) 488-2120
NPI assigned
Mar 24, 2017
Last updated
Feb 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5009533 NC Primary
Acute Care Nurse Practitioner 363LA2100X LUCA-04B17Z NC
Acute Care Clinical Nurse Specialist 364SA2100X 1-080479 AL
Women's Health Nurse Practitioner 363LW0102X 5009533 NC

Addresses

Primary practice location

7300 Raeford Rd
Fayetteville, NC 28304-0807

Mailing address

100 Idlewilde LN
Sanford, NC 27332-9303
Phone (907) 229-9749

Other practice location 1

724 S Horner Blvd
Sanford, NC 27330-4822
Phone (919) 776-6767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170710000986 NC Practitioner - Nurse Practitioner 3375812274 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sandhills Emergency Physicians PAGroup PAC ID 8729062609, 31 clinicians
Fastmed PCGroup PAC ID 9830540558, 174 clinicians

Practice addresses (Care Compare)

155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 715-1116

724 S Horner Blvd
Sanford, NC 27330-4822
Phone (919) 776-6767

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LUCA-04B17ZNCMDAcute Care Nurse Practitioner
5009533NCMDWomen's Health Nurse Practitioner
1-080479ALMDAcute Care Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-12, LLC CurrentSince May 19, 2025 Accepting new patients
Sandhills Emergency Physicians PA CurrentSince Jun 4, 2021 Accepting new patients
Cfvhs Ed Physicians CurrentSince Jun 1, 2017 Accepting new patients
MCPC-12, LLC CurrentSince May 19, 2025 Accepting new patients
FHPG, LLC Current Accepting new patients
FHPG, LLC CurrentSince Nov 25, 2024 Accepting new patients
Cfvhs Ed Physicians CurrentSince Jun 1, 2017 Accepting new patients
FHPG, LLC CurrentSince Nov 25, 2024 Accepting new patients
FHPG, LLC Past Accepting new patients

Locations

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

5 First Village Dr
Ste 100
Pinehurst, NC 28374
Phone (910) 692-7928

210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000

6408 Fayetteville Rd
Raeford, NC 28376
Phone (910) 878-6000

925 S Long Dr
Rockingham, NC 28379
Phone (910) 417-3000

520 Allen St
Troy, NC 27371
Phone (910) 571-5000

Interoperability endpoints

  • Direct secure messaging: tlucas105956@firsthealth.direct-ci.net

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1306377999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 IDLEWILDE LN",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273329303",
            "telephone_number": "907-229-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 RAEFORD RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283040807",
            "telephone_number": "910-488-2120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "724 S Horner Blvd",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273304822",
            "country_code": "US",
            "telephone_number": "919-776-6767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "TAMMY",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "AG-ACNP, ENP, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009533",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "LUCA-04B17Z",
            "primary": false
        },
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "AL",
            "license": "1-080479",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NC",
            "license": "5009533",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.