NPIMap

Organization Active NPI

Lucas Family Medicine PLLC

  • Rural Health Clinic/Center
  • Middlesboro, KY
National Provider Identifier
1821961293
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
LUCAS FAMILY MEDICINE PLLC
Practice address
473 N 12TH St
Middlesboro, KY 40965-1133
Phone
(606) 302-5116
Fax
(606) 302-5117
NPI assigned
Sep 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Elizabeth S. Lucas, DO
Title
Owner
Phone
(606) 302-5116

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

473 N 12TH St
Middlesboro, KY 40965-1133

Mailing address

473 N 12TH St
Middlesboro, KY 40965-1133
Phone (606) 302-5116

Other names 1

  • Lucas Family Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251204002440 KY Part A Provider - Rural Health Clinic 5395106025 Practice locations: Middlesboro, KY

Rural health clinic certification: CCN B08918

Legal name
LUCAS FAMILY MEDICINE PLLC
Doing business as
LUCAS FAMILY MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 30, 2026
Last certification
Apr 30, 2026
Ownership / control type
1B
Organization structure
LLCProprietary
Enrollment address
473 N 12TH St
Middlesboro, KY 40965-1133

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Lucas Family Medical Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Elizabeth Lucas Individual 5% Or Greater Direct Ownership InterestOwner / Chief Medical Officer Jul 14, 2023 50%
Operational/Managerial ControlOwner / Chief Medical Officer Jul 14, 2023
Jonathon Lucas Individual 5% Or Greater Direct Ownership InterestOwner / Office Manager Jul 14, 2023 50%
Operational/Managerial ControlOwner / Office Manager Jul 14, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1821961293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 N 12TH ST",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651133",
            "telephone_number": "606-302-5116",
            "fax_number": "606-302-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 N 12TH ST",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651133",
            "telephone_number": "606-302-5116",
            "fax_number": "606-302-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCAS FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-24",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-302-5116",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lucas Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middlesboro, KY

Sources for this page

Verify at the official NPI Registry.