Individual provider Active NPI

Thelma E Wiley-Lucas, M.D.

  • Gastroenterology Physician
  • Carrollton, GA
National Provider Identifier
1366478653
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
058487 Issued in GA
Practice address
157 Clinic Ave Ste 201
Carrollton, GA 30117-4454
Phone
(770) 214-2800
Fax
(770) 214-2803
NPI assigned
Jun 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 058487 GA Primary

Addresses

Primary practice location

157 Clinic Ave Ste 201
Carrollton, GA 30117-4454

Mailing address

157 Clinic Ave Ste 201
Carrollton, GA 30117-4454
Phone (770) 214-2800

Other practice location 1

690 Dallas Hwy Ste 103
Villa Rica, GA 30180-1265
Phone (770) 214-2800

Other practice location 2

204 Allen Memorial Dr Ste 302B
Bremen, GA 30110-2047
Phone (770) 214-2800

Other practice location 3

160 Clinic Ave
Carrollton, GA 30117-4451
Phone (770) 214-2800

Other identifiers 2

IdentifierTypeStateIssuer
P00384988OtherGARAIL ROAD MEDICARE
179173719AMedicaidGA

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
I20061116000289 GA Practitioner - Gastroenterology 7012904782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Illinois Medical College, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Georgia Gastroenterology Associates,PCGroup PAC ID 5890783104, 12 clinicians

Practice addresses (Care Compare)

157 Clinic Ave
Carrollton, GA 30117-4454
Phone 770214280013

160 Clinic Ave
Carrollton, GA 30117-4451
Phone (770) 214-2800

690 Dallas Hwy 103
Villa Rica, GA 30180-1265
Phone (770) 214-2800

Hospital & facility affiliations

  • Tanner Medical Center - Carrollton Hospital, Carrollton, GA, CCN 110011
  • Tanner Medical Center Villa Rica Hospital, Villa Rica, GA, CCN 110015
  • Higgins General Hospital Hospital, Bremen, GA, CCN 111320

Merit-based Incentive Payment System (MIPS)

Final score
92.21 of 100Reported as group
Quality
94.35
Promoting interoperability
100
Improvement activities
40
Cost
77.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy197
Upper gastrointestinal (GI) endoscopy for acid reflux224

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Georgia Gastroenterology Associates,PC CurrentSince Sep 25, 2006 Accepting new patients
Rush University Medical Center PastSince Aug 1, 2007 Accepting new patients

Locations

160 Clinic Ave
Carrollton, GA 30117
Phone (770) 214-2800

157 Clinic Ave
Ste 201
Carrollton, GA 30117
Phone (770) 214-2800

690 Dallas Hwy
Ste 103
Villa Rica, GA 30180
Phone (770) 214-2800

Interoperability endpoints

  • Direct secure messaging: tlucas@westgagastro.gwaydirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1366478653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 CLINIC AVE STE 201",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174454",
            "telephone_number": "770-214-2800",
            "fax_number": "770-214-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 CLINIC AVE STE 201",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174454",
            "telephone_number": "770-214-2800",
            "fax_number": "770-214-2803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "690 Dallas Hwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Villa Rica",
            "state": "GA",
            "postal_code": "301801265",
            "country_code": "US",
            "telephone_number": "770-214-2800",
            "fax_number": "770-214-2803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 Allen Memorial Dr Ste 302B",
            "address_purpose": "LOCATION",
            "city": "Bremen",
            "state": "GA",
            "postal_code": "301102047",
            "country_code": "US",
            "telephone_number": "770-214-2800",
            "fax_number": "770-214-2803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Clinic Ave",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301174451",
            "country_code": "US",
            "telephone_number": "770-214-2800",
            "fax_number": "770-214-2803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILEY-LUCAS",
        "first_name": "THELMA",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "058487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00384988",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179173719A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.