MS. LISA MARIE LUCKIE FNP-C
NPI 1134600414
Nurse Practitioner - Family in Fitzgerald, GA

Q: What is Lisa Luckie's NPI number?

The NPI number for Lisa Luckie is 1134600414. It was assigned to this individual provider in the NPPES registry on August 24, 2018.

Q: What is Lisa Luckie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Luckie was last updated on August 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 August 24, 2018PECOS Enrolled

182 PERRY HOUSE RD STE E, FITZGERALD, GA 31750(229) 423-8725 Get Directions Write a Review

NPPES record last updated: August 24, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Ms. Lisa Marie Luckie Fnp-c NPPES

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

MS. LISA MARIE LUCKIE FNP-C (NPI 1134600414) is an individual family provider in Fitzgerald, Georgia, licensed in Georgia (RN170777) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134600414

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. LISA MARIE LUCKIECredential: FNP-C

Location Address182 PERRY HOUSE RD STE EFitzgerald, GA 31750-8714

Mailing AddressPo Box 1349Fitzgerald, GA 31750-1349 · (229) 423-8725

Phone(229) 423-8725

Sole ProprietorNo

Enumeration DateAugust 24, 2018

✔ NPI 1134600414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN170777

182 PERRY HOUSE RD STE E, Fitzgerald, GA 31750

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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. Lisa Marie Luckie Fnp-c 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 31750 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

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 Lisa Luckie's NPI number?

The NPI number for Lisa Luckie is 1134600414. It was assigned to this individual provider in the NPPES registry on August 24, 2018.

Where is Lisa Luckie located?

Lisa Luckie practices at 182 Perry House Rd Ste E, Fitzgerald, GA 31750. The listed phone number is (229) 423-8725.

What is Lisa Luckie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Luckie enrolled in Medicare?

Yes. Lisa Luckie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Luckie was last updated on August 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.