Active NPI
Lucie Fumagalli, PA
- Surgical Physician Assistant
- Atlanta, GA
National Provider Identifier
1811805336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 085.012448
- Practice address
- 3001 Mercer University Dr
Atlanta, GA 30341-4115 - Phone
- (678) 547-6000
- NPI assigned
- Aug 28, 2026
- Last updated
- Aug 28, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 085.012448 | IL | Primary |
Addresses
Primary practice location
3001 Mercer University Dr
Atlanta, GA 30341-4115
Mailing address
514 N Peshtigo CT Apt 2101
Chicago, IL 60611-5449
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1811805336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 N PESHTIGO CT APT 2101",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606115449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 MERCER UNIVERSITY DR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303414115",
"telephone_number": "678-547-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUMAGALLI",
"first_name": "LUCIE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-28",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "IL",
"license": "085.012448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.