THELMA E WILEY-LUCAS M.D.
NPI 1366478653
Internal Medicine - Gastroenterology in Carrollton, GA

Q: What is Thelma Wiley-lucas's NPI number?

The NPI number for Thelma Wiley-lucas is 1366478653. It was assigned to this individual provider in the NPPES registry on June 25, 2006.

Q: What is Thelma Wiley-lucas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since June 25, 2006PECOS EnrolledAccepts Medicare Assignment

89.3/100

CMS Quality Rating

157 CLINIC AVE STE 201, CARROLLTON, GA 30117(770) 214-2800(770) 214-2803 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 10, 2025, Aug 9, 2024 (2 updates tracked since 2024).

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About Thelma E Wiley-lucas M.d. NPPES

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

THELMA E WILEY-LUCAS M.D. (NPI 1366478653) is an individual gastroenterology provider in Carrollton, Georgia, licensed in Georgia (058487) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1366478653

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameTHELMA E WILEY-LUCASCredential: M.D.

Location Address157 CLINIC AVE STE 201Carrollton, GA 30117-4454

Mailing Address157 Clinic Ave Ste 201Carrollton, GA 30117-4454 · (770) 214-2800 · Fax (770) 214-2803

Phone(770) 214-2800

Fax(770) 214-2803

Sole ProprietorNo

Medical School CMSIllinois Medical CollegeGraduated 1989

Enumeration DateJune 25, 2006

Last NPPES UpdateJune 10, 20252 updates tracked since enumeration

NPPES CertifiedJune 10, 2025

✔ NPI 1366478653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in GA · 058487

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

157 CLINIC AVE STE 201, Carrollton, GA 30117

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Secondary Practice Locations 3

Location 1690 Dallas Hwy Ste 103Villa Rica, GA 30180-1265 · Phone (770) 214-2800 · Fax (770) 214-2803

Location 2204 Allen Memorial Dr Ste 302BBremen, GA 30110-2047 · Phone (770) 214-2800 · Fax (770) 214-2803

Location 3160 Clinic AveCarrollton, GA 30117-4451 · Phone (770) 214-2800 · Fax (770) 214-2803

Other Identifiers 2

OtherP00384988GA · Rail Road Medicare

Medicaid179173719AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Thelma E Wiley-lucas M.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.

PECOS PAC ID7012904782

PECOS Enrollment IDI20061116000289

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.

Medicare Billing Reassignment

Medicare enrollment records show Thelma Wiley-lucas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

West Georgia Gastroenterology Associates,pc

Same address

Specialist

157 CLINIC AVE, SUITE 201
Carrollton, GA 30117

Reassigned Medicare billing, Georgia enrollment
15 clinicians in this Medicare group

NPI 1962594168 (770) 214-2800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

149 services108 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

127 services123 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

60 services60 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

51 services51 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

42 services42 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

41 services39 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

39 services39 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

38 services38 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

30 services29 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

26 services26 patients

Ultrasound scan of organ tissue for measuring elasticity 76981

An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.

24 services24 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

21 services21 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

16 services16 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tanner Medical Center - Carrollton

Acute Care Hospitals · Carrollton, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110011

Location705 Dixie StreetCarrollton, GA 30117 · Carroll County

Birthing friendly

Tanner Medical Center Villa Rica

Acute Care Hospitals · Villa Rica, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110015

Location601 Dallas HighwayVilla Rica, GA 30180 · Carroll County

Emergency services Birthing friendly

Higgins General Hospital

Critical Access Hospitals · Bremen, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number111320

Location200 Allen Memorial DriveBremen, GA 30110 · Haralson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30117 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

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.

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.

89.3/100

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

Scored as part of a group practice

Quality

93.39

Promoting Interoperability

100

Improvement Activities

Cost

68.39

Other Providers at the Same Location NPPES 7

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

MS. MELANIE SIMS NP

Nurse Practitioner (Acute Care)