Individual provider Active NPI

Richard E Lucky, CRNA

  • Certified Registered Nurse Anesthetist
  • Ozark, AL
National Provider Identifier
1952573545
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-084888 Issued in AL
Practice address
126 Hospital Ave
Ozark, AL 36360-2018
Phone
(334) 793-8087
Fax
(334) 793-8191
NPI assigned
Mar 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-084888 AL Primary

Addresses

Primary practice location

126 Hospital Ave
Ozark, AL 36360-2018

Mailing address

PO Box 863
Ozark, AL 36361-0863
Phone (334) 793-8087

Other identifiers 2

IdentifierTypeStateIssuer
51044800OtherALBCBS OF AL
1952573545MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL, GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20081103000317 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719046903 Reassigns benefits to 3 organizations
I20160216002359 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719046903 Reassigns benefits to 2 organizations
I20181108002044 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719046903 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flowers HB Medical Services LLCGroup PAC ID 6305290990, 139 clinicians
Anesthesia Physician Solutions of North Florida LLCGroup PAC ID 5597066001, 280 clinicians

Practice addresses (Care Compare)

4370 W Main St
Dothan, AL 36305-1056
Phone (334) 793-5000

449 W 23Rd St
Panama City, FL 32405-4507
Phone (954) 939-5000

Hospital & facility affiliations

  • HCA Florida Fort Walton-Destin Hospital Hospital, Fort Walton Beach, FL, CCN 100223
  • Flowers Hospital Hospital, Dothan, AL, CCN 010055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-084888ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Physician Solutions of North Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2020 Accepting new patients
The Health Care Authority of the City of Eufaula CurrentSince Mar 1, 2019 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC CurrentSince Oct 1, 2020 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince Jul 28, 2021 Accepting new patients
North Tampa Anesthesia Consultants CurrentSince Dec 1, 2015 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Mar 3, 2020 Accepting new patients
Flowers HB Medical Services LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 16, 2025 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Dale Medical Center CurrentSince Mar 5, 2008 Accepting new patients
The Health Care Authority of the City of Eufaula Current Accepting new patients
Dale Medical Center Nurse Anesthetist, Certified Registered CurrentSince Mar 5, 2008 Accepting new patients
Dale Medical Center Current Accepting new patients
Anesthesia Consultants of Savannah, PC CurrentSince Sep 1, 2018 Accepting new patients
The Health Care Authority of the City of Eufaula CurrentSince Mar 1, 2019 Accepting new patients

Locations

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761

218 Hospital Ave
Ste B
Ozark, AL 36360
Phone (334) 445-1025

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

2222 S Harbor City Blvd
Ste 540
Melbourne, FL 32901
Phone (321) 541-1776

449 W 23rd St
Panama City, FL 32405
Phone (850) 747-7900

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

Networks

  • Freedom Health HMO Network

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1952573545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363610863",
            "telephone_number": "334-793-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 HOSPITAL AVE",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363602018",
            "telephone_number": "334-793-8087",
            "fax_number": "334-793-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKY",
        "first_name": "RICHARD",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-24",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-084888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51044800",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952573545",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozark, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.