MARY LACEY ANP
NPI 1902096399
Nurse Practitioner - Neonatal in Macon, GA

Active since July 31, 2007
350 HOSPITAL DR, MACON, GA 99508(478) 765-4132 Get Directions Write a Review

NPPES record last updated: April 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Lacey Anp NPPES

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

MARY LACEY ANP (NPI 1902096399) is an individual neonatal provider in Macon, Georgia, licensed in Georgia (RN182787) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1902096399
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameMARY LACEYCredential: ANP
Location Address350 HOSPITAL DRMacon, GA 99508-4615
Mailing Address350 Hospital DrMacon, GA 99519-6276
Sole ProprietorNo
Enumeration DateJuly 31, 2007
Last NPPES UpdateApril 11, 2014
NPI 1902096399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License Licensed in GA · RN182787
Also ListedNurse Practitioner · Pediatrics, Critical CareTaxonomy 363LP0222X · License 794 (AK)
350 HOSPITAL DR, Macon, GA 99508

Other Identifiers 2

MedicaidRN182787GA
MedicaidNP0794AK

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 Mary Lacey's NPI number?

The NPI number for Mary Lacey is 1902096399. It was assigned to this individual provider in the NPPES registry on July 31, 2007.

Where is Mary Lacey located?

Mary Lacey practices at 350 Hospital Dr, Macon, GA 99508. The listed phone number is (478) 765-4132.

What is Mary Lacey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

When was this NPI record last updated?

The NPPES record for Mary Lacey was last updated on April 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.