Susan Northern Lacy, MD

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

28143 Issued in TN

Practice address

6401 Poplar Ave Ste 530
Memphis, TN 38119-4840

Phone

(901) 767-9368

Fax

(901) 767-9496

NPI assigned

Aug 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Obstetrics/Gynecology

Education

Johns Hopkins University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEHFDD
• FHIR API: https://fhir4.healow.com/fhir/r4/AEHFDD/Endpoint/AEHFDD

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.

• More 901 LLC

  • Gynecology Physician
  • Memphis, TN
  • NPI 1003647769
  Medicare reassignment NPD Authorized official
• Midsouth Independent Group, PLLC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1861009326
  Medicare reassignment NPD

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1710998729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 UNION AVE",
            "address_2": "STE 1401",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043667",
            "telephone_number": "901-701-1777",
            "fax_number": "901-701-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 POPLAR AVE STE 530",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194840",
            "telephone_number": "901-767-9368",
            "fax_number": "901-767-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACY",
        "first_name": "SUSAN",
        "middle_name": "NORTHERN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TN",
            "license": "28143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Malone Lackie, D.D.S.
• Mark Irwin Lackmann, LADAC I; CADC I
• Lacy and Bradford Care Facility
• Lacy Care Facility
• Michael R Lacy, MD
• Wayne Joseph Ladner Jr., P.A.
• Mindy Lafayette
• Christopher W. Lafleur, M.D.
• Louise Laflora, M.D.
• Julie Lafreniere, OD

• Obstetrics Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Obstetrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.