JESSICA LEE HARDEN LACKEY DDS
NPI 1023379559
Dentist - General Practice in Shelby, NC

Q: What is Jessica Lackey's NPI number?

The NPI number for Jessica Lackey is 1023379559. It was assigned to this individual provider in the NPPES registry on May 31, 2012.

Q: What is Jessica Lackey's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Lackey was last updated on September 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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 May 31, 2012PECOS Enrolled

139 W ROSS GROVE ROAD, SHELBY, NC 28150(704) 482-7986(704) 480-9301 Get Directions Write a Review

NPPES record last updated: September 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jessica Lee Harden Lackey Dds NPPES

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

JESSICA LEE HARDEN LACKEY DDS (NPI 1023379559) is an individual general practice provider in Shelby, North Carolina, licensed in North Carolina (9304) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023379559

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameJESSICA LEE HARDEN LACKEYCredential: DDS

Location Address139 W ROSS GROVE ROADShelby, NC 28150-3406

Mailing AddressPo Box 656Shelby, NC 28151-0656 · (704) 482-7986 · Fax (704) 480-9301

Phone(704) 482-7986

Fax(704) 480-9301

Sole ProprietorYes

Enumeration DateMay 31, 2012

Last NPPES UpdateSeptember 11, 2014

✔ NPI 1023379559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NC · 9304

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

139 W ROSS GROVE ROAD, Shelby, NC 28150

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Other Identifiers 3

Medicare PIN241351NC

Medicare UPINT63943NC

Medicaid5920113NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Lee Harden Lackey Dds 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 28150 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

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 2

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

DR. PAULINE E CAHILL DDS

Dentist (General Practice)

139 W ROSS GROVE ROAD
SHELBY, NC 28150

Cleveland County (704) 482-7986

BRENTON L YOUNG DDS

Dentist (General Practice)

139 W ROSS GROVE ROAD
SHELBY, NC 28150

Cleveland County (704) 482-7986

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Lackey's NPI number?

The NPI number for Jessica Lackey is 1023379559. It was assigned to this individual provider in the NPPES registry on May 31, 2012.

Where is Jessica Lackey located?

Jessica Lackey practices at 139 W Ross Grove Road, Shelby, NC 28150. The listed phone number is (704) 482-7986.

What is Jessica Lackey's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jessica Lackey enrolled in Medicare?

Yes. Jessica Lackey is registered in the Medicare PECOS enrollment system.

What insurance does Jessica Lackey accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Jessica Lackey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Lackey was last updated on September 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.