Herbert Lebron Lackey Jr., M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

24323 Issued in TN

Practice address

2370 N Ocoee St
Cleveland, TN 37311-3850

Phone

(423) 479-6214

Fax

(423) 614-4405

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Diagnostic Radiology

Education

University of Tennessee, HSC, College of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians

Cleveland Radiology Associates, PCGroup PAC ID 3274540554, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rhea Medical Center Hospital, Dayton, TN, CCN 441310
• Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161
• Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150
• Tristar Skyline Medical Center Hospital, Nashville, TN, CCN 440006
• Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Cleveland Radiology Associates, PC

  • Diagnostic Radiology Physician
  • Cleveland, TN
  • NPI 1174552202
  Medicare reassignment Care Compare group NPD
• Radiology Alliance PC

  • Diagnostic Radiology Physician
  • Nashville, TN
  • NPI 1861478489
  Medicare reassignment Care Compare group NPD
• Adi Radiology PC

  • Diagnostic Radiology Physician
  • Franklin, TN
  • NPI 1083266761
  Medicare reassignment NPD
• Middle Tennessee Imaging LLC

  • Diagnostic Radiology Physician
  • Dickson, TN
  • NPI 1770667289
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Health Services of Tennessee, Inc.

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1023055126
  Care Compare affiliation
• HCA Health Services of Tennessee, Inc.

  • General Acute Care Hospital
  • Hermitage, TN
  • NPI 1982650024
  Care Compare affiliation
• Hendersonville Hospital Corporation

  • General Acute Care Hospital
  • Hendersonville, TN
  • NPI 1538114434
  Care Compare affiliation
• Hti Memorial Hospital Corporation

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1295780476
  Care Compare affiliation
• Rhea Medical Center

  • Critical Access Hospital
  • Dayton, TN
  • NPI 1811987084
  Care Compare affiliation

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1326046053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3990",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373203990",
            "telephone_number": "423-479-6214",
            "fax_number": "423-614-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 N OCOEE ST",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113850",
            "telephone_number": "423-479-6214",
            "fax_number": "423-614-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKEY",
        "first_name": "HERBERT",
        "middle_name": "LEBRON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "24323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3083638",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Subroto Kundu, M.D.
• Calvin Richard Kurz, M.D.
• Marion Kyle
• Piper Kyle, RBT
• Curteis J. Laboy, PT
• Micole Andreia Lafforgue, FNP-BC
• Shantel Rose Lafontaine, D.C.
• Natalie Wolters Landry, NP
• Robert Breck Lang, FNP
• Kelly Elizabeth Langford

• Diagnostic Radiology Physician in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Diagnostic Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.