Individual provider Active NPI

Lucas Anthony Trautman, M.D., M.P.H.

  • Psychiatry Physician
  • Bartlett, TN
National Provider Identifier
1497978258
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD0000041286 Issued in TN
Practice address
2911 Brunswick Rd
Bartlett, TN 38133-4105
Phone
(901) 377-4700
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 21766 MS
Psychiatry Physician 2084P0800X MD199956 LA
Psychiatry Physician 2084P0800X 15513 HI
Psychiatry Physician 2084P0800X MD0000041286 TN Primary

Addresses

Primary practice location

2911 Brunswick Rd
Bartlett, TN 38133-4105

Mailing address

3064 Steeplegate Dr
Germantown, TN 38138-7746

Other practice location 1

4646 Poplar Ave Ste 409
Memphis, TN 38117-4434
Phone (901) 505-1711

Other practice location 2

458 Hannings Ln
Martin, TN 38237
Phone (731) 588-2830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091118000465 TN Practitioner - Psychiatry 4981742590 Reassigns benefits to 5 organizations
I20120622000368 MS Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 4981742590

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Tennessee, HSC, College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Great Care Health Services LLCGroup PAC ID 1254793003, 4 clinicians

Practice addresses (Care Compare)

435 Metroplex Dr
Suite 211
Nashville, TN 37211-3109
Phone (615) 682-8150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41286TNMDPharmacist
MD199956LAMDPsychiatry Physician
21766MSMDPsychiatry Physician
MD0000041286TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Care Health Services LLC Psychiatry CurrentSince May 19, 2025 Accepting new patients
Sycamore Psychiatry CurrentSince Nov 12, 2023 Accepting new patients
Oxford Treatment Center, LLC Past Accepting new patients
Uhs of Lakeside LLC Past Accepting new patients
Pathways of Tennessee, Inc. Past Accepting new patients
Brightside Medical, P.C. Psychiatry Past Accepting new patients

Locations

110 Court St
Ste A
Senatobia, MS 38668
Phone (662) 301-8683

435 Metroplex Dr
Ste 211
Nashville, TN 37211
Phone (615) 682-8150

Interoperability endpoints

  • Direct secure messaging: lucas.trautman.1@32050.direct.athenahealth.com
  • Direct secure messaging: ltrautman45497@mlh.direct-ci.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1497978258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3064 STEEPLEGATE DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381387746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 BRUNSWICK RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334105",
            "telephone_number": "901-377-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4646 Poplar Ave Ste 409",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381174434",
            "country_code": "US",
            "telephone_number": "901-505-1711",
            "fax_number": "901-207-2499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "458 Hannings Ln",
            "address_purpose": "LOCATION",
            "city": "Martin",
            "state": "TN",
            "postal_code": "38237",
            "country_code": "US",
            "telephone_number": "731-588-2830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAUTMAN",
        "first_name": "LUCAS",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "21766",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "MD199956",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "15513",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD0000041286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.