LACY CHAVIS PSY.D.
NPI 1093020786
Psychologist in St Petersburg, FL
About Lacy Chavis Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LACY CHAVIS PSY.D. (NPI 1093020786) is an individual psychologist in St Petersburg, Florida, licensed in Florida (PY8429) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lacy Chavis Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Lacy Chavis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Petersburg, FL 33701
- Reassigned Medicare billing, Florida enrollment
- 419 clinicians in this Medicare group
Tampa, FL 33606
- Reassigned Medicare billing, Florida enrollment
- 48 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
ST PETERSBURG, FL 33701
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 Lacy Chavis's NPI number?
The NPI number for Lacy Chavis is 1093020786. It was assigned to this individual provider in the NPPES registry on August 18, 2010.
Where is Lacy Chavis located?
Lacy Chavis practices at 880 6th St S Ste 420, St Petersburg, FL 33701. The listed phone number is (727) 767-8477.
What is Lacy Chavis's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Lacy Chavis enrolled in Medicare?
Yes. Lacy Chavis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Lacy Chavis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lacy Chavis reassigns Medicare benefits to 2 organizations: Tampa General Medical Group Inc (St Petersburg, FL) and Florida Health Sciences Center Inc (Tampa, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lacy Chavis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lacy Chavis accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Lacy Chavis 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 Lacy Chavis was last updated on November 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.