NPIMap

Individual provider Active NPI

Dolores J Lucas, MD

  • Dermatology Physician
  • Dickson, TN
National Provider Identifier
1992708077
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD30869 Issued in TN
Practice address
127 Crestview Park Dr
Dickson, TN 37055-2850
Phone
(615) 446-5121
Fax
(615) 446-1357
NPI assigned
May 23, 2005
Last updated
Oct 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD30869 TN Primary

Addresses

Primary practice location

127 Crestview Park Dr
Dickson, TN 37055-2850

Mailing address

127 Crestview Park Dr
Dickson, TN 37055-2850
Phone (615) 446-5121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100303000546 TN Practitioner - Dermatology 6204925696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dickson Medical Associates, PCGroup PAC ID 3971408774, 55 clinicians

Practice addresses (Care Compare)

127 Crestview Park Dr
Dickson, TN 37055-2855
Phone (615) 446-5121

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions647
Removal or shaving of skin growth43
Skin biopsy238

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD30869TNMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dickson Medical Associates PC Current Accepting new patients
Dickson Medical Associates, PC CurrentSince Jan 1, 2001 Accepting new patients
Dickson Medical Associates, PC CurrentSince Jan 1, 2001 Accepting new patients

Locations

113 Highway 70 E
Dickson, TN 37055
Phone (615) 446-5121

127 Crestview Park Dr
Dickson, TN 37055
Phone (615) 441-4478

127 Crestview Park Dr
Ste 200
Dickson, TN 37055
Phone (615) 441-4520

127 Crestview Park Dr
Ste 206
Dickson, TN 37055
Phone (615) 441-4522

Ownership & related parties

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Dickson Medical Associates, PCWaverly, TN, CCN 448958 Rural health clinic General Partnership Interest (2.46%) Jul 1, 2007
Dma South PediatricsDickson, TN, CCN 883843 Rural health clinic Other (2.4%) Jan 24, 2021
Dickson Medical Associate White BluffWhite Bluff, TN, CCN 883842 Rural health clinic 5% Or Greater Direct Ownership Interest (2.4%) Jul 1, 2007
Dickson Medical Associates Crestview Walk-inDickson, TN, CCN 883854 Rural health clinic General Partnership Interest (3.52%) Jan 24, 2021
Dickson Medical Associates, PCFairview, TN, CCN 883917 Rural health clinic General Partnership Interest (2.4%) Jan 24, 2021
Dma Pediatrics and Specialty ClinicWaverly, TN, CCN 883924 Rural health clinic 5% Or Greater Direct Ownership Interest (2.4%) Jul 1, 2007
First Priority HealthHohenwald, TN, CCN 883955 Rural health clinic 5% Or Greater Direct Ownership Interest (2.46%) Jul 1, 2007
Dickson Medical Associates, PCAshland City, TN, CCN 883965 Rural health clinic General Partnership Interest (3.52%) Jan 24, 2021
Dickson Medical Associates, PCKingston Springs, TN, CCN 883966 Rural health clinic General Partnership Interest (3.52%) Jan 24, 2021
Dma SouthDickson, TN, CCN 888923 Rural health clinic 5% Or Greater Direct Ownership Interest (2.4%) Jul 1, 2007

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1992708077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 CRESTVIEW PARK DR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552850",
            "telephone_number": "615-446-5121",
            "fax_number": "615-446-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 CRESTVIEW PARK DR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552850",
            "telephone_number": "615-446-5121",
            "fax_number": "615-446-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "DOLORES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "MD30869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

Verify at the official NPI Registry.