MS. ELIZABETH JANE LACKEY CPNP
NPI 1023280591
Nurse Practitioner - Pediatrics in Atlanta, GA

Q: What is Elizabeth Lackey's NPI number?

The NPI number for Elizabeth Lackey is 1023280591. It was assigned to this individual provider in the NPPES registry on March 25, 2008.

Q: What is Elizabeth Lackey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Lackey was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 25, 2008PECOS Enrolled

2174 N DRUID HILLS RD NE, ATLANTA, GA 30329(404) 785-2897(404) 785-2611 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2025, May 18, 2020 (2 updates tracked since 2020).

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About Ms. Elizabeth Jane Lackey Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ELIZABETH JANE LACKEY CPNP (NPI 1023280591) is an individual pediatrics provider in Atlanta, Georgia, licensed in Georgia (RN100203) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023280591

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMS. ELIZABETH JANE LACKEYCredential: CPNP

Location Address2174 N DRUID HILLS RD NEAtlanta, GA 30329-3102

Mailing Address2174 N Druid Hills Rd NeAtlanta, GA 30329-3102 · (404) 785-2897 · Fax (404) 785-2611

Phone(404) 785-2897

Fax(404) 785-2611

Sole ProprietorYes

Enumeration DateMarch 25, 2008

Last NPPES UpdateNovember 6, 20252 updates tracked since enumeration

NPPES CertifiedNovember 6, 2025

✔ NPI 1023280591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in GA · RN100203

2174 N DRUID HILLS RD NE, Atlanta, GA 30329

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Elizabeth Jane Lackey Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30329 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACOB A HUMPHREY MD

Pediatrics (Pediatric Nephrology)