Individual provider Active NPI

Stephen K Lucas, MD

  • Pulmonary Disease Physician
  • Athens, GA
National Provider Identifier
1346235074
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
24974 Issued in GA
Practice address
3320 Old Jefferson Rd
Suite 200a
Athens, GA 30607-1400
Phone
(706) 549-5560
Fax
(706) 543-2593
NPI assigned
Sep 19, 2005
Last updated
Feb 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 24974 GA Primary
Internal Medicine Physician 207R00000X 29474 GA

Addresses

Primary practice location

3320 Old Jefferson Rd
Suite 200a
Athens, GA 30607-1400

Mailing address

3320 Old Jefferson Rd
Suite 200a
Athens, GA 30607-1400
Phone (706) 549-5560

Other identifiers 1

IdentifierTypeStateIssuer
000264668AMedicaidGA

Other names 1

  • Stephen K Lucas Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20050131000511 GA Practitioner - Pulmonary Disease 5890744205 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24974GAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Athens Regional Medical Center, Inc. CurrentSince Feb 1, 2016 Accepting new patients
Piedmont Athens Regional Medical Center, Inc. CurrentSince Feb 1, 2016 Accepting new patients
Athens Pulmonary and Allergy, P.C. Pulmonary Disease CurrentSince Jul 1, 1966 Accepting new patients
St. Mary's Hospital, Inc. Past Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

3320 Old Jefferson Rd
Athens, GA 30607
Phone (706) 353-3600

3320 Old Jefferson Rd
Ste 200
Athens, GA 30607
Phone (706) 549-5560

3320 Old Jefferson Rd
Ste 200A
Athens, GA 30607
Phone (706) 549-5560

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Family HospiceAthens, GA, CCN 851521 Hospice Contracted Managing Employee May 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1346235074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON RD",
            "address_2": "SUITE 200A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071400",
            "telephone_number": "706-549-5560",
            "fax_number": "706-543-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON RD",
            "address_2": "SUITE 200A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071400",
            "telephone_number": "706-549-5560",
            "fax_number": "706-543-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "STEPHEN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "24974",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "29474",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000264668A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHEN",
            "last_name": "LUCAS",
            "middle_name": "K",
            "credential": "MP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.