Active NPI
Christopher J Lucas, D.O.
- Vascular Surgery Physician
- Clarksville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- DO0000001524
- Practice address
- 647 Dunlop LN 203
Clarksville, TN 37040-5165 - Phone
- (931) 502-3700
- Fax
- (931) 502-3705
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | DO0000001524 | TN | |
| Vascular Surgery Physician | 2086S0129X | DO0000001524 | TN | Primary |
Addresses
Primary practice location
647 Dunlop LN 203
Clarksville, TN 37040-5165
Mailing address
647 Dunlop LN 203
Clarksville, TN 37040-5165
Phone (931) 502-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3307461 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | christopher.lucas.1@1879.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081002000166 | TN | Practitioner - General Surgery | 2062580152 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1524 | TN | MD | Professional Counselor |
| DO0000001524 | TN | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarksville Physician Services LLC | Current | Accepting new patients | |
| Clarksville Physician Services, LLC | Past | Accepting new patients | |
| Tennessee Heart and Lung Institute PLC | Specialist | Past | Accepting new patients |
Locations
647 Dunlop Ln
Ste 206
Clarksville, TN 37040
Phone (931) 232-5141
647 Dunlop Ln
Ste 210
Clarksville, TN 37040
Phone (931) 502-3810
647 Dunlop Ln
Ste 203
Clarksville, TN 37040
Phone (931) 502-3700
651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000
647 Dunlop Ln
Ste 100
Clarksville, TN 37040
Phone (931) 551-8991
Interoperability endpoints
- https://api.platform.athenahealth.com/1879/brand/1/csg/1/fhir/r4
- christopher.lucas.1@1879.direct.athenahealth.com
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.
-
- Rural Health Clinic/Center
- Dover, TN
- NPI 1992077077
-
- Specialist
- Clarksville, TN
- NPI 1699802371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1982632337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "647 DUNLOP LN 203",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370405165",
"telephone_number": "931-502-3700",
"fax_number": "931-502-3705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "647 DUNLOP LN 203",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370405165",
"telephone_number": "931-502-3700",
"fax_number": "931-502-3705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "CHRISTOPHER",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "DO0000001524",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TN",
"license": "DO0000001524",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3307461",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "christopher.lucas.1@1879.direct.athenahealth.com",
"affiliation": "N",
"address_1": "647 DUNLOP LN 203",
"city": "CLARKSVILLE",
"state": "TN",
"country_code": "US",
"postal_code": "370405165",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.