RACHAEL CLARK LACKEY ARNP NPI 1780922849

NPI Information

NPI: 1780922849
Provider Name: RACHAEL CLARK LACKEY, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4681 US HIGHWAY 84 BYP W
THOMASVILLE, GA
ZIP 31792
Phone: (229) 227-2936
Get Directions

Rachael Clark Lackey, ARNP is a family nurse practitioner in Thomasville, GA. Rachael Clark Lackey, ARNP NPI is 1780922849. 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:

4681 US HIGHWAY 84 BYP W
THOMASVILLE, GA
ZIP 31792-607
Phone: (229) 227-2936
Fax: (229) 226-2036

The NPI 1780922849 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 1/24/2013 and was last updated on 10/6/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN224594	GEORGIA	Yes
2	363LP0200X	Nurse Practitioner	Pediatrics	ARNP9297951	FLORIDA	No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RN224594	OTHER	GEORGIA	GA LICENSE
2	ARNP9297951	OTHER	FLORIDA	FLORIDA DEPARTMENT OF HEALTH

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: 5/5/2024

NPI Synchronization or Removal

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