Organization Active NPI

Lla Medical Broker Solutions

Doing business as LLA Medical

  • Home Health Clinical Nurse Specialist
  • Savannah, GA
National Provider Identifier
1518834076
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Clinical Nurse SpecialistTaxonomy code 364SH0200X
Legal business name
LLA MEDICAL BROKER SOLUTIONS
Doing business as
LLA Medical
Practice address
216 Lawton Ave
Savannah, GA 31404-1231
Phone
(213) 585-4159
NPI assigned
Oct 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Dr. Terrance K Lucky II, PHD. MHT .CC. CTI
Title
Clinical Director
Phone
(213) 585-4159

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X
Home Infusion Agency 251F00000X
Home Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SH0200X Primary

Addresses

Primary practice location

216 Lawton Ave
Savannah, GA 31404-1231

Mailing address

216 Lawton Ave
Savannah, GA 31404-1231
Phone (213) 585-4159

Other names 1

  • LLA Medical Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1518834076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 LAWTON AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314041231",
            "telephone_number": "213-585-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 LAWTON AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314041231",
            "telephone_number": "213-585-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLA MEDICAL BROKER SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "LUCKY",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "213-585-4159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PHD. MHT .CC. CTI"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LLA Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.