MR. JASON DAVID LACY MSR, OTR-L, ATP
NPI 1255489324
Occupational Therapist in Chickamauga, GA
About Mr. Jason David Lacy Msr, Otr-l, Atp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JASON DAVID LACY MSR, OTR-L, ATP (NPI 1255489324) is an individual occupational therapist in Chickamauga, Georgia, licensed in Tennessee (OT2656) and active in the NPI registry since January 2007. He is a graduate of Medical University Of South Carolina College Of Medicine (2000).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Mr. Jason David Lacy Msr, Otr-l, Atp 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 Reassignment
Medicare enrollment records show Jason Lacy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mount Juliet, TN 37122
- Reassigned Medicare billing, Tennessee enrollment
- 50 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.
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 Jason Lacy's NPI number?
The NPI number for Jason Lacy is 1255489324. It was assigned to this individual provider in the NPPES registry on January 8, 2007.
Where is Jason Lacy located?
Jason Lacy practices at 74 Glass Mill Pointe Dr, Chickamauga, GA 30707. The listed phone number is (706) 375-3050.
What is Jason Lacy's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Jason Lacy enrolled in Medicare?
Yes. Jason Lacy 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 organization bills Medicare for Jason Lacy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jason Lacy reassigns Medicare benefits to Empowerme Rehabilitation, LLC (Mount Juliet, TN). The 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 Jason Lacy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jason Lacy accept?
Health plans from BlueCross BlueShield of Tennessee list Jason Lacy 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 Jason Lacy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.