Jason Wayne Lucas, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013726 Issued in GA

Practice address

1600 Alice St
Waycross, GA 31501-4533

Phone

(912) 285-3140

NPI assigned

Jun 23, 2008

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

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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.

• Lucas and Thomas Family Dentistry, Inc.

  • Dentist
  • Waycross, GA
  • NPI 1316321631
  NPD (past) Authorized official
• Internal Medicine Associates of Waycross, P.C.

  dba Waycross Internal Medicine

  • Internal Medicine Physician
  • Waycross, GA
  • NPI 1144420530
  NPD (past)
• Thomas and Lucas Family Dentistry, LLC

  • General Practice Dentistry
  • Waycross, GA
  • NPI 1720392913
  NPD (past)

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1790946622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ALICE ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014533",
            "telephone_number": "912-285-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ALICE ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014533",
            "telephone_number": "912-285-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "JASON",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto Jafet Lopez Vega, M.D.
• Lorretta D. Saint-Fort, MD, PC
• Dan A Lott, M.D.
• James Lowther
• Lucas and Thomas Family Dentistry, Inc.
• Robert S Lykens, M.D.
• Donald Richard Lynch, M.D.
• Madhavi Madupuri, MBBS
• Deborah Maine, LCSW
• Josselynn Elizabeth Mallard, PA-C

• General Practice Dentistry in Waycross, GA
• Providers in Waycross, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.