Individual provider Active NPI

Lucas Tarvainen, MD

  • Family Medicine Physician
  • Lithonia, GA
National Provider Identifier
1538858790
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
111560 Issued in GA
Practice address
2491 Panola Rd
Lithonia, GA 30058-4831
Phone
(678) 205-4999
NPI assigned
May 3, 2023
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 111560 GA Primary

Addresses

Primary practice location

2491 Panola Rd
Lithonia, GA 30058-4831

Mailing address

2491 Panola Rd
Lithonia, GA 30058-4831
Phone (678) 205-4999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20231005001360 AL Order and Referring Only - Family PracticePractitioner - Family Practice 9537514906

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2491 Panola Rd
Lithonia, GA 30058-4831

PO Box
Suite 305
Avondale Estates, GA 30002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Family Care, LLC Family Medicine CurrentSince Jul 8, 2026 Accepting new patients

Locations

2601 Salem Rd SE
Conyers, GA 30013
Phone (678) 205-4999

2491 Panola Rd
Lithonia, GA 30058
Phone (678) 205-4999

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEFBDA
  • Direct secure messaging: lucas.tarvainen.p1@direct.umc.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1538858790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2491 PANOLA RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584831",
            "telephone_number": "678-205-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2491 PANOLA RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584831",
            "telephone_number": "678-205-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARVAINEN",
        "first_name": "LUCAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-03",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "111560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

Verify at the official NPI Registry.