MR. JAMES DYLAN LACKEY FNP-BC
NPI 1205403151
Nurse Practitioner - Family in Atlanta, GA

Q: What is James Lackey's NPI number?

The NPI number for James Lackey is 1205403151. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Q: What is James Lackey'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 James Lackey was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 09, 2021PECOS EnrolledAccepts Medicare Assignment

87.82/100

CMS Quality Rating

1438 W PEACHTREE ST NW, ATLANTA, GA 30309(470) 283-7349(833) 689-2507 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2024, May 1, 2024, Jun 9, 2021 (3 updates tracked since 2021).

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About Mr. James Dylan Lackey Fnp-bc NPPES

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

MR. JAMES DYLAN LACKEY FNP-BC (NPI 1205403151) is an individual family provider in Atlanta, Georgia, licensed in Georgia (RN282621) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2018).

NPPES Registry Identity

NPI1205403151

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. JAMES DYLAN LACKEYCredential: FNP-BC

Location Address1438 W PEACHTREE ST NWAtlanta, GA 30309-2998

Mailing Address6255 W Sunset Blvd Fl 21Los Angeles, CA 90028-7422 · (323) 860-5200 · Fax (234) 677-1193

Phone(470) 283-7349

Fax(833) 689-2507

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2018

Enumeration DateJune 9, 2021

Last NPPES UpdateMay 6, 20243 updates tracked since enumeration

NPPES CertifiedMay 6, 2024

✔ NPI 1205403151 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 · RN282621

1438 W PEACHTREE ST NW, Atlanta, GA 30309

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Mr. James Dylan Lackey Fnp-bc 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.

PECOS PAC ID9032515473

PECOS Enrollment IDI20210909002101

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.82/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

66.3

Promoting Interoperability

100

Improvement Activities

Cost

66.48

Other Providers at the Same Location NPPES 8

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

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