Active NPI
Thomas Kevin Lackey
- Anesthesiology Physician
- Rainbow City, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 21928
- Practice address
- 3804 Rainbow Dr
Rainbow City, AL 35906 - Phone
- (256) 952-2200
- Fax
- (256) 952-2202
- NPI assigned
- Nov 18, 2005
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 21928 | AL | Primary |
Addresses
Primary practice location
3804 Rainbow Dr
Rainbow City, AL 35906
Mailing address
3804 Rainbow Dr
Rainbow City, AL 35906-3051
Phone (256) 952-2200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051502368 | Other | AL | BLUE CROSS BLUE SHIELD |
| 009960110 | Medicaid | AL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Alabama School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Gadsden, AL 35901
Phone (256) 546-5281
1 Commerce Square
Gadsden, AL 35901-5252
103 Helton CT
Florence, AL 35630-1464
Phone (205) 848-2925
400 E 10TH St
Anniston, AL 36207-4716
Phone (256) 546-5281
Hospital & facility affiliations
- Northeast Alabama Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21928 | AL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epix Anesthesia of Alabama LLC | Anesthesiology | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Alabama-TCS Inc | Anesthesiology | Current | Accepting new patients |
| Alabama Anesthesiology and Pain Consultants P.C. | Anesthesiology | Current | Accepting new patients |
| Anesthesia Associates | Anesthesiology | Current | Accepting new patients |
| Acsh Primary Care of Alabama, LLC | Past | Accepting new patients | |
| Anniston Anesthesia PA | Anesthesiology | Past | Accepting new patients |
Locations
400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121
2505 US Highway 431
Boaz, AL 35957
Phone (256) 506-0061
400 Northwood Dr
Centre, AL 35960
Phone (256) 927-1382
200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150
1 Commerce Sq
Gadsden, AL 35901
8000 AL Highway 69
Guntersville, AL 35976
Phone (256) 571-8000
1440 Highway Dr
Oxford, AL 36203
Phone (256) 241-2230
2804 Hospital Dr
Pell City, AL 35125
Phone (205) 338-6655
3804 Rainbow Dr
Rainbow City, AL 35906
Phone (205) 338-6655
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
Interoperability endpoints
- thomas.lackey@1801.securemail.prognocis.com
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Gadsden, AL
- NPI 1821013905
-
- Anesthesiology Physician
- Florence, AL
- NPI 1376266726
-
- Anesthesiology Physician
- Brentwood, TN
- NPI 1750989877
AL
-
- Anesthesiology Physician
- Pell City, AL
- NPI 1831388255
-
- Internal Medicine Physician
- Rainbow City, AL
- NPI 1811394547
-
- Anesthesiology Physician
- Anniston, AL
- NPI 1013971845
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Anniston, AL
- NPI 1003996000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529539200000",
"number": "1720060247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3804 RAINBOW DR",
"city": "RAINBOW CITY",
"state": "AL",
"postal_code": "359063051",
"telephone_number": "256-952-2200",
"fax_number": "256-952-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3804 RAINBOW DR",
"city": "RAINBOW CITY",
"state": "AL",
"postal_code": "35906",
"telephone_number": "256-952-2200",
"fax_number": "256-952-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACKEY",
"first_name": "THOMAS",
"middle_name": "KEVIN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2018-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AL",
"license": "21928",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "051502368",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009960110",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rainbow City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.