Individual provider Active NPI

Lucas Bryan Richie, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Lebanon, TN
National Provider Identifier
1447419577
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
51379 Issued in TN
Practice address
100 Physicians Way
Suite 110
Lebanon, TN 37090-8102
Phone
(615) 547-6700
Fax
(615) 547-6707
NPI assigned
Jun 4, 2008
Last updated
Jun 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301092302 MI
Orthopaedic Surgery Physician 207X00000X 51379 TN
Student in an Organized Health Care Education/Training Program 390200000X 4301092302 MI
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 35121293 OH
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 51379 TN Primary

Addresses

Primary practice location

100 Physicians Way
Suite 110
Lebanon, TN 37090-8102

Mailing address

PO Box 370
Fortson, GA 31808-0370

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140826001902 TN Practitioner - Orthopedic Surgery 9739323742 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Cincinnati College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dickson Orthopaedic and Sports Medicine PLLCGroup PAC ID 1355404336, 4 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

115 Willard Hagan Dr
Lebanon, TN 37090-1023
Phone (615) 547-6700

125 Willard Hagan Dr
Lebanon, TN 37090-1023
Phone (615) 889-3340

1411 W Baddour Pkwy
Lebanon, TN 37087-2513
Phone (615) 444-8262

196 Hillview St
Dickson, TN 37055-1285
Phone (615) 740-0080

394 Harding PL
Nashville, TN 37211-3980

980 Professional Park Dr
Clarksville, TN 37040-5251
Phone (931) 221-9967

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement19
Lower limb (leg) arthroscopy (minimally invasive joint repair)13
Upper limb (arm) arthroscopy (minimally invasive joint repair)47
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301092302MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedics & Sports Medicine PLC Orthopaedic Surgery CurrentSince Aug 11, 2014 Accepting new patients
Dickson Orthopaedic and Sports Medicine PLLC Orthopaedic Surgery CurrentSince Feb 25, 2019 Accepting new patients
Premier Orthopaedics & Sports Medicine, PLC Orthopaedic Surgery CurrentSince Aug 11, 2014 Accepting new patients
Dickson Orthopaedic and Sports Medicine PLLC Orthopaedic Surgery CurrentSince Feb 25, 2019 Accepting new patients

Locations

196 Hillview St
Dickson, TN 37055
Phone (615) 740-0080

115 Willard Hagan Dr
Ste 100
Lebanon, TN 37090
Phone (615) 547-6700

100 Physicians Way
Ste 110
Lebanon, TN 37090
Phone (615) 449-1100

125 Willard Hagan Dr
Lebanon, TN 37090
Phone (615) 449-1150

1321 Murfreesboro Pike
Ste 510
Nashville, TN 37217
Phone (615) 366-8890

394 Harding Pl
Ste 200
Nashville, TN 37211
Phone (615) 834-4482

Interoperability endpoints

  • Direct secure messaging: lucas.richie.1@321.direct.athenahealth.com
  • Direct secure messaging: lucas.richie@sogt-tn.direct.office.nextgen.com

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.

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": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1447419577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370",
            "fax_number": "706-494-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PHYSICIANS WAY",
            "address_2": "SUITE 110",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370908102",
            "telephone_number": "615-547-6700",
            "fax_number": "615-547-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHIE",
        "first_name": "LUCAS",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-04",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301092302",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "51379",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301092302",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "OH",
            "license": "35121293",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TN",
            "license": "51379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

Verify at the official NPI Registry.