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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAQUERIA BRIANNA LACY DMD
NPI 1841093788
Dentist - General Practice in Roanoke Rapids, NC

Active since March 27, 2025PECOS Enrolled
2066 NC HIGHWAY 125 # 603, ROANOKE RAPIDS, NC 27870(863) 279-2887 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 7, 2026, May 19, 2026, Mar 27, 2025 (3 updates tracked since 2025).

About Jaqueria Brianna Lacy Dmd NPPES

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

JAQUERIA BRIANNA LACY DMD (NPI 1841093788) is an individual general practice provider in Roanoke Rapids, North Carolina, licensed in North Carolina (14889) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841093788
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJAQUERIA BRIANNA LACYCredential: DMD
Location Address2066 NC HIGHWAY 125 # 603Roanoke Rapids, NC 27870-9436
Mailing AddressPo Box 640Roanoke Rapids, NC 27870-0640 · (252) 536-5844
Phone(863) 279-2887
Sole ProprietorYes
Enumeration DateMarch 27, 2025
Last NPPES UpdateAugust 7, 20263 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1841093788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 14889
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2066 NC HIGHWAY 125 # 603, Roanoke Rapids, NC 27870
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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)

Jaqueria Brianna Lacy Dmd 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 27870 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 Jaqueria Lacy's NPI number?

The NPI number for Jaqueria Lacy is 1841093788. It was assigned to this individual provider in the NPPES registry on March 27, 2025.

Where is Jaqueria Lacy located?

Jaqueria Lacy practices at 2066 Nc Highway 125 # 603, Roanoke Rapids, NC 27870. The listed phone number is (863) 279-2887.

What is Jaqueria Lacy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jaqueria Lacy enrolled in Medicare?

Yes. Jaqueria Lacy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaqueria Lacy was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.