James R Lucas, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MPA1695PA Issued in SC

Practice address

111 W Hospital Dr
West Columbia, SC 29169-3405

Phone

(803) 796-8515

Fax

(803) 796-8516

NPI assigned

Oct 4, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Carolina Urology Practice

  • Specialist
  • West Columbia, SC
  • NPI 1447395066
  NPD (past)

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1598049983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 KINCEY AVE",
            "address_2": "SUITE 201",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280789118",
            "telephone_number": "704-414-2870",
            "fax_number": "704-414-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W HOSPITAL DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693405",
            "telephone_number": "803-796-8515",
            "fax_number": "803-796-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-04",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "MPA1695PA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1469PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lowcountry Nursing Group, LLC
• Caralee Rose Lowry, MS, SLP
• LTC Health Solutions Medical Equipment, Inc.
• Douglas E Luberoff, MD
• Brooke Nicole Lucas
• Melissa Jade Lucas
• Rachel Lucci, OTR/L
• William M Luce, CRNA
• Zachary Lundberg
• Whitney Lykes

• Physician Assistant in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.