Active NPI
Lucas Exceptional Healthcare and Consultation PLLC
- Primary Care Clinic/Center
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- LUCAS EXCEPTIONAL HEALTHCARE AND CONSULTATION PLLC
- Practice address
- 2211 W Meadowview Rd Ste 107
Greensboro, NC 27407-3408 - Phone
- (336) 543-0480
- Fax
- (336) 313-2417
- NPI assigned
- Aug 26, 2021
- Last updated
- Oct 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latoya Lucas, APRN
- Title
- Ceo
- Phone
- (336) 543-0480
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary | |
| Adult Health Nurse Practitioner | 363LA2200X | NU |
Addresses
Primary practice location
2211 W Meadowview Rd Ste 107
Greensboro, NC 27407-3408
Mailing address
2211 W Meadowview Rd Ste 107
Greensboro, NC 27407-3408
Phone (336) 543-0480
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5004800 | Other | NC | MEDICAL LICENSE |
| 1447927595 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@lucasehc.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2235509 | Lucas Exceptional Healthcare and | Certificate of waiver | Sep 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
2211 W Meadowview Rd
#1
Greensboro, NC 27407
2211 W Meadowview Rd
Ste 107
Greensboro, NC 27407
Phone (336) 543-0480
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Health Nurse Practitioner
- Greensboro, NC
- NPI 1750696274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696464000000",
"number": "1447927595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 W MEADOWVIEW RD STE 107",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274073408",
"telephone_number": "336-543-0480",
"fax_number": "336-313-2417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 W MEADOWVIEW RD STE 107",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274073408",
"telephone_number": "336-543-0480",
"fax_number": "336-313-2417"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUCAS EXCEPTIONAL HEALTHCARE AND CONSULTATION PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-26",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A",
"authorized_official_last_name": "LUCAS",
"authorized_official_first_name": "LATOYA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "336-543-0480",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "5004800",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447927595",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@lucasehc.com",
"affiliation": "N",
"address_1": "2211 W Meadowview Rd Ste 107",
"city": "Greensboro",
"state": "NC",
"country_code": "US",
"postal_code": "274073408",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.