James M Lackey, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

TEMP Issued in WV

Practice address

200 Route 98 W St
Suite 103
Nutter Fort, WV 26301-4385

Phone

(304) 623-6330

Fax

(304) 623-1333

NPI assigned

Oct 5, 2009

Sex

Male

Sole proprietor

No

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.

• Med Surg Physician Group, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Beckley, WV
  • NPI 1083373997
  NPD (past)
• North Central WV Hospitalists PLLC

  • Hospitalist Physician
  • Bridgeport, WV
  • NPI 1487951612
  NPD (past)
• Premier Medical Group, Inc.

  • Family Medicine Physician
  • Bridgeport, WV
  • NPI 1679672505
  NPD (past)
• Premier Medical Group, Inc.

  • Clinical Medical Laboratory
  • Nutter Fort, WV
  • NPI 1942479084
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 5, 2009.

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1497080717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ROUTE 98 W ST",
            "address_2": "SUITE 103",
            "city": "NUTTER FORT",
            "state": "WV",
            "postal_code": "263014385",
            "telephone_number": "304-623-6330",
            "fax_number": "304-623-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ROUTE 98 W ST",
            "address_2": "SUITE 103",
            "city": "NUTTER FORT",
            "state": "WV",
            "postal_code": "263014385",
            "telephone_number": "304-623-6330",
            "fax_number": "304-623-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKEY",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "TEMP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Griffith, PT
• Rose Guzzi
• Jennifer Lynn Hammond, OTR
• Robin A. Haught, PA-C
• Alexis A Hill, OT
• Samantha Lackey
• Lorri R Ledsome
• Amy Lusk, PHARMD
• Matthew A Madrid, P.T.
• Samuel Colombo Martino, DDS

• All providers in Nutter Fort, WV
• Medical Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.