Active NPI
Maya Lucas, MD
- Internal Medicine Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 104591
- Practice address
- 4800 Olde Towne Pkwy Ste 400
Marietta, GA 30068-4424 - Phone
- (678) 539-2670
- Fax
- (678) 539-3197
- NPI assigned
- Jun 13, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME149147 | FL | |
| Internal Medicine Physician | 207R00000X | 104591 | GA | Primary |
Addresses
Primary practice location
4800 Olde Towne Pkwy Ste 400
Marietta, GA 30068-4424
Mailing address
4800 Olde Towne Pkwy Ste 400
Marietta, GA 30068-4424
Phone (678) 539-2670
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mayalucas@lmg.allscriptsdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4800 Olde Towne Pkwy
Suite 400
Marietta, GA 30068-4424
Phone (678) 718-2940
Hospital & facility affiliations
- Northside Hospital
- Holy Cross Hospital
- Northside Hospital Cherokee
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laureate Medical Group at Northside LLC | Internal Medicine | Current | Accepting new patients |
| Holy Cross Hospital Inc | Internal Medicine | Current | Accepting new patients |
| Holy Cross Hospital, Inc | Current | Accepting new patients |
Locations
1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
1402 NE 26th St
Wilton Manors, FL 33305
Phone (954) 563-3767
3400 Old Milton Pkwy
Ste 500
Alpharetta, GA 30005
Phone (678) 775-2284
4800 Olde Towne Pkwy
Ste 400
Marietta, GA 30068
Phone (678) 539-2670
6135 Barfield Rd
Ste 200
Sandy Springs, GA 30328
Phone (404) 256-8500
6600 Peachtree Dunwoody Rd
Bldg 600
Sandy Springs, GA 30328
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
Interoperability endpoints
- mlucas2023520@direct.trinity-health.org
- mayalucas@lmg.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1811037336
-
- Internal Medicine Physician
- Ft. Lauderdale, FL
- NPI 1467401877
-
- Health & Wellness Coach
- Oakland Park, FL
- NPI 1063207595
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Ft Lauderdale, FL
- NPI 1639197395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1912490996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 OLDE TOWNE PKWY STE 400",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300684424",
"telephone_number": "678-539-2670",
"fax_number": "678-539-3197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 OLDE TOWNE PKWY STE 400",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300684424",
"telephone_number": "678-539-2670",
"fax_number": "678-539-3197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "MAYA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-13",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME149147",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "104591",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mayalucas@lmg.allscriptsdirect.net",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Edge",
"address_1": "4800 Olde Towne Pkwy Ste 400",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300684424",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.