1. Home
  2. Directory
  3. Georgia
  4. Gainesville
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

LUCAS CANAAN
NPI 1083363113
Student in an Organized Health Care Education/Training Program in Gainesville, GA

Active since March 23, 2022PECOS Enrolled
743 SPRING ST NE STE 710, GAINESVILLE, GA 30501(770) 219-8730 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lucas Canaan NPPES

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

LUCAS CANAAN (NPI 1083363113) is an individual student in an organized health care education/training program in Gainesville, Georgia and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083363113
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLUCAS CANAAN
Location Address743 SPRING ST NE STE 710Gainesville, GA 30501-3715
Mailing Address743 Spring St Ne Ste 710Gainesville, GA 30501-3715
Phone(770) 219-8730
Sole ProprietorNo
Enumeration DateMarch 23, 2022
NPPES CertifiedMarch 23, 2022
✔ NPI 1083363113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
743 SPRING ST NE STE 710, Gainesville, GA 30501
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lucas Canaan 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.

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.

ROBERT OBERMAN DO
Internal Medicine
743 SPRING ST NE STE 710
GAINESVILLE, GA 30501
Hall County (770) 219-8730
WYATT ERWIN
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE STE 710
GAINESVILLE, GA 30501
Hall County (770) 219-9000
NATHANIEL RAY GRABILL MD
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE STE 710
GAINESVILLE, GA 30501
Hall County (770) 219-8730
DR. RAFAEL TAPIA JR. MD
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE STE 710
GAINESVILLE, GA 30501
Hall County (770) 219-8730
DR. DAVID SPENCER HARMON MD
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE STE 710
GAINESVILLE, GA 30501
Hall County (770) 219-8730
MUHAREB MUSTAFA MD
Family Medicine
743 SPRING ST NE STE 710
GAINESVILLE, GA 30501
Hall County (770) 219-8730
DR. BRENDA JEAN DIGGS DO
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE STE 710
GAINESVILLE, GA 30501
Hall County (770) 219-1200
REBEKAH KATHERINE FAYARD MD
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE STE 710
GAINESVILLE, GA 30501
Hall County (770) 219-1200

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 Lucas Canaan's NPI number?

The NPI number for Lucas Canaan is 1083363113. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Lucas Canaan located?

Lucas Canaan practices at 743 Spring St NE Ste 710, Gainesville, GA 30501. The listed phone number is (770) 219-8730.

What is Lucas Canaan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lucas Canaan enrolled in Medicare?

Yes. Lucas Canaan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lucas Canaan was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.