LUCAS TARVAINEN MD
NPI 1538858790
Family Medicine in Lithonia, GA

Active since May 03, 2023PECOS EnrolledAccepts Medicare Assignment
2491 PANOLA RD, LITHONIA, GA 30058(678) 205-4999 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2026, May 3, 2023 (2 updates tracked since 2023).

About Lucas Tarvainen Md NPPES

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

LUCAS TARVAINEN MD (NPI 1538858790) is an individual family medicine provider in Lithonia, Georgia, licensed in Georgia (111560) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (2023).

NPPES Registry Identity

NPI1538858790
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLUCAS TARVAINENCredential: MD
Location Address2491 PANOLA RDLithonia, GA 30058-4831
Mailing Address2491 Panola RdLithonia, GA 30058-4831 · (678) 205-4999
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2023
Enumeration DateMay 3, 2023
Last NPPES UpdateJuly 17, 20262 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1538858790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 111560
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2491 PANOLA RD, Lithonia, GA 30058

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

Lucas Tarvainen Md 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 ID9537514906
PECOS Enrollment IDI20260721000592
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 Lucas Tarvainen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
2491 PANOLA RD
Lithonia, GA 30058
  • Reassigned Medicare billing, Georgia enrollment
  • 5 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30058 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.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Primary Care)
2491 PANOLA RD
LITHONIA, GA 30058
Nurse Practitioner (Family)
2491 PANOLA RD
LITHONIA, GA 30058
Nurse Practitioner (Family)
2491 PANOLA RD
LITHONIA, GA 30058
Family Medicine
2491 PANOLA RD
LITHONIA, GA 30058
Family Medicine
2491 PANOLA RD
LITHONIA, GA 30058

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 Lucas Tarvainen's NPI number?

The NPI number for Lucas Tarvainen is 1538858790. It was assigned to this individual provider in the NPPES registry on May 3, 2023.

Where is Lucas Tarvainen located?

Lucas Tarvainen practices at 2491 Panola Rd, Lithonia, GA 30058. The listed phone number is (678) 205-4999.

What is Lucas Tarvainen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lucas Tarvainen enrolled in Medicare?

Yes. Lucas Tarvainen 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 Lucas Tarvainen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lucas Tarvainen reassigns Medicare benefits to Georgia Family Care, LLC (Lithonia, GA). 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 Lucas Tarvainen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lucas Tarvainen accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Lucas Tarvainen 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 Lucas Tarvainen was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.