Provider Type Icon

BETTY JANE LACKEY D.O. NPI 1043448509


NPI Information

NPI: 1043448509
Provider Name: BETTY JANE LACKEY, D.O.
Classification: Family Medicine - 207QH0002X
Entity Type: Individual

Specialization: Hospice and Palliative Medicine

PECOS Registration: Yes

Address:
255 ENTERPRISE BLVD STE 101
GREENVILLE, SC
ZIP 29615
Phone: (864) 454-8120
Get Directions

Betty Jane Lackey, D.O. is a hospice and palliative medicine family medicine in Greenville, SC. The provider is a family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. Betty Jane Lackey, D.O. NPI is 1043448509. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

255 ENTERPRISE BLVD STE 101
GREENVILLE, SC
ZIP 29615-530
Phone: (864) 454-8120
Fax: (864) 454-8125

The NPI 1043448509 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/23/2009 and was last updated on 8/8/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric Medicine36751SOUTH CAROLINANo
2207QH0002XFamily MedicineHospice and Palliative Medicine36751SOUTH CAROLINAYes
3390200000XStudent in an Organized Health Care Education/Training ProgramNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P01624384OTHERSOUTH CAROLINARR MEDICARE
2NPI #OTHERSOUTH CAROLINABLUE CHOICE
3367515MEDICAIDSOUTH CAROLINA
4NPI #OTHERSOUTH CAROLINABLUE CROSS
5NPI #OTHERSOUTH CAROLINATRICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.