Phillip H Lucas, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

09840 Issued in MS

Practice address

136 East Spring Street
Cookeville, TN 38501-3208

Phone

(931) 854-1011

Fax

(931) 854-1335

NPI assigned

Jun 22, 2006

Last updated

Oct 6, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Independent Healthcare Management, Inc.

  dba S E Lackey Memorial Hospital

  • Critical Access Hospital
  • Forest, MS
  • NPI 1306909734
  Medicare reassignment NPD
• Magee Benevolent Association

  dba the medical pavilion

  • Family Nurse Practitioner
  • Raleigh, MS
  • NPI 1225157258
  Medicare reassignment NPD
• South Sunflower County Hospital

  • General Acute Care Hospital
  • Indianola, MS
  • NPI 1184679292
  Medicare reassignment NPD
• Independent Healthcare Management, Inc.

  dba Community Health Clinic

  • Rural Health Clinic/Center
  • Forest, MS
  • NPI 1255376729
  NPD
• Independent Healthcare Management, Inc.

  dba 35 South Family Medical

  • Rural Health Clinic/Center
  • Raleigh, MS
  • NPI 1871272724
  NPD
• South Central Regional Medical Center

  dba Magee General ERPs

  • General Acute Care Hospital
  • Magee, MS
  • NPI 1396865754
  NPD
• South Central Regional Medical Center

  dba Magee General Hospital

  • General Acute Care Hospital
  • Magee, MS
  • NPI 1679553994
  NPD
• South Sunflower County Hospital

  dba Delta Surgical Clinic

  • Clinic/Center
  • Indianola, MS
  • NPI 1487685897
  NPD
• South Sunflower County Hospital

  • Advanced Practice Midwife
  • Indianola, MS
  • NPI 1962395863
  NPD
• Greenwood Leflore Hospital

  • General Acute Care Hospital
  • Greenwood, MS
  • NPI 1578595302
  NPD (past)
• Independent Healthcare Management, Inc.

  dba SE Lackey Memorial Hospital

  • Clinic/Center
  • Forest, MS
  • NPI 1245905405
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1891731055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 EAST SPRING STREET",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013208",
            "telephone_number": "931-854-1011",
            "fax_number": "931-854-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 EAST SPRING STREET",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013208",
            "telephone_number": "931-854-1011",
            "fax_number": "931-854-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "PHILLIP",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "09840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00124463",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carole Lovell, PSYD LCSW
• Lisa A Lovell, LCSW
• Mark Lovell, LCSW
• Sherrie Lynn Lowe
• LP Cookeville, LLC (Signature HealthCARE of Putnam County)
• Shelby Leigh Ann Lucas
• Lucky Strike Medical Supply Inc
• Margarita Lundhom
• Tara Luther, SLP-CCC
• Luxottica Retail North America Inc (Sears Optical #C1082)

• Specialist in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; 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.