Active NPI
Stephen K Lucas, MD
- Pulmonary Disease Physician
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 24974
- 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, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000264668A | Medicaid | GA |
Other names 1
- Stephen K Lucas
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24974 | GA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Athens Regional Medical Center, Inc. | Current | Accepting new patients | |
| Piedmont Athens Regional Medical Center, Inc. | Current | Accepting new patients | |
| Athens Pulmonary and Allergy, P.C. | Pulmonary Disease | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Family Hospice | 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.
-
dba Family Hospice
- Community Based Hospice Care Agency
- Athens, GA
- NPI 1619458973
Contracted Managing Employee
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.
-
- Pulmonary Disease Physician
- Athens, GA
- NPI 1649337510
-
- General Acute Care Hospital
- Athens, GA
- NPI 1437186111
-
dba Piedmont Home Infusion
- Home Infusion Agency
- Athens, GA
- NPI 1003801184
-
dba St. Mary's Hospital
- General Acute Care Hospital
- Athens, GA
- NPI 1871556621
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.