Active NPI
David Luce, AA
- Anesthesiologist Assistant
- Macon, GA
National Provider Identifier
1689895591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 003518
- Practice address
- 777 Hemlock Street
Macon, GA 31201 - Phone
- (478) 633-6706
- Fax
- (478) 633-5384
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 003518 | GA | Primary |
Addresses
Primary practice location
777 Hemlock Street
Macon, GA 31201
Mailing address
598 Thrid Street
Macon, GA 31201
Phone (478) 633-6706
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 970015867 | Other | GA | RAILROAD MCR - MCCG |
| 100001363A | Medicaid | GA | |
| 100001363A | Other | GA | PEACHSTATE CMO - MCCG |
| 344351 | Other | GA | WELLCARE CMO - MCCG |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338336000000",
"number": "1689895591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "598 THRID STREET",
"city": "MACON",
"state": "GA",
"postal_code": "31201",
"telephone_number": "478-633-6706",
"fax_number": "478-633-5384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 HEMLOCK STREET",
"city": "MACON",
"state": "GA",
"postal_code": "31201",
"telephone_number": "478-633-6706",
"fax_number": "478-633-5384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCE",
"first_name": "DAVID",
"credential": "AA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2012-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "003518",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCR - MCCG",
"identifier": "970015867",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100001363A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEACHSTATE CMO - MCCG",
"identifier": "100001363A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE CMO - MCCG",
"identifier": "344351",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.