Individual provider Active NPI

Gregory C Lunceford, MD

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1851373047
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
050584 Issued in GA
Practice address
3915 Cascade Rd SW
Ste 360
Atlanta, GA 30331-8533
Phone
(770) 317-7300
NPI assigned
Nov 15, 2005
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 050584 GA Primary

Addresses

Primary practice location

3915 Cascade Rd SW
Ste 360
Atlanta, GA 30331-8533

Mailing address

PO Box 310569
Atlanta, GA 31131-0569
Phone (404) 291-0416

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080805000366 GA Practitioner - Psychiatry 3577637875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Uhs of Anchor L.P.Group PAC ID 4486684784, 4 clinicians

Practice addresses (Care Compare)

3915 Cascade Rd SW
Suite 360
Atlanta, GA 30331-8533
Phone (678) 973-2370

5454 Yorktowne Dr
College Park, GA 30349-5317
Phone (770) 991-6044

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
050584GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Internal Medicine and Psychiatric Care Psychiatry CurrentSince Mar 16, 2012 Accepting new patients
Uhs of Anchor L.P. CurrentSince Sep 4, 2024 Accepting new patients
Uhs of Anchor L.P. Current Accepting new patients
Wellstar Psychiatry, LLC Psychiatry Past Accepting new patients
Wellstar Medical Group, LLC Psychiatry Past Accepting new patients
Advanced Anesthesia Associates, PC PastSince Sep 4, 2024 Accepting new patients

Locations

3915 Cascade Rd SW
Ste 360
Atlanta, GA 30331
Phone (404) 291-0416

5454 Yorktowne Dr
College Park, GA 30349
Phone (678) 251-3200

83 Upper Riverdale Rd SW
Ste 300
Riverdale, GA 30274
Phone (678) 284-5620

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1851373047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310569",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311310569",
            "telephone_number": "404-291-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 CASCADE RD SW",
            "address_2": "STE 360",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318533",
            "telephone_number": "770-317-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNCEFORD",
        "first_name": "GREGORY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "050584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.