DR. JOHN ALBERT LUCAS IV (NPI# 1659692952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659692952 |
| Entity Type | Individual |
| Full Name | DR. JOHN ALBERT LUCAS IV |
| Credential | M.D. |
| Practice Address |
2755 S Highway 14 Suite 1200l Greer SC 29650-4902 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8648499150 |
| Practice Fax Number | 8648499334 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2020-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 36938 | SC | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | TL36938 | SC | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
36938 | SC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE PIN | SC36196121 | 01 |
| SC | 369381 | 05 | |
| SC | MEDICARE PIN | SC36196084 | 01 |
| SC | MEDICARE PIN | SC36197628 | 01 |
| SC | MEDICARE PIN | SC3619J577 | 01 |
| SC | MEDICARE PIN | SC36196067 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821649757 | John Lucas | Counselor | 200 S Bemiston Ave Ste 101, Saint Louis, MO 63105-1915 | 2019-09-23 |
| 1194109843 | John Larry Lucas | In Home Supportive Care | 707 Mulberry St, Adrian, MI 49221-2339 | 2015-07-13 |
| 1801123930 | John T Lucas | Specialist/Technologist, Other | 1088 Graves Rd, Stamping Ground, KY 40379-9719 | 2009-11-10 |
| 1356433114 | John J Lucas | Psychiatry & Neurology | 1696 Route 17m, Goshen, NY 10924 | 2006-09-29 |
| 1316937154 | John Lucas | Marriage & Family Therapist | 41690 Enterprise Cir N, Ste 104, Temecula, CA 92590-5616 | 2005-10-24 |
| 1316507684 | John Lucas | Surgery | 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 | 2019-06-18 |
| 1316306723 | John M Lucas | Nurse Anesthetist, Certified Registered | 306 Stanaford Rd, Anesthesia Department, Beckley, WV 25801 | 2016-02-12 |
| 1376984831 | John Lucas | Social Worker | 420 N James Rd, Columbus, OH 43219-1834 | 2013-07-12 |
| 1902127269 | John Thomas Lucas | Radiology | 262 Danny Thomas Pl, Memphis, TN 38105 | 2010-06-21 |
| 1639365992 | John Chapman Lucas | Psychologist | 1144 Sonoma Ave, Suite 111, Santa Rosa, CA 95405-4812 | 2007-09-20 |
| Street Address |
2755 S HIGHWAY 14 SUITE 1200L |
| City | GREER |
| State | SC |
| Zip Code | 29650-4902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164546 | Surgery Center At Pelham, LLC | Clinic/Center | 2755 S Highway 14, Greer, SC 29650-4926 | 2005-06-16 |
| 1598111353 | Spartanburg Medical Center | Nurse Practitioner | 2755 S Highway 14, Suite 2200, Greer, SC 29650-4902 | 2016-05-11 |
| 1972963494 | Spartanburg Medical Center | Physical Medicine & Rehabilitation | 2755 S Highway 14, Suite 1450, Greer, SC 29650-4902 | 2016-02-25 |
| 1245608934 | Spartanburg Medical Center | Dermatology | 2755 S Highway 14, Suite 2050, Greer, SC 29650-4902 | 2015-09-11 |
| 1114302767 | Spartanburg Medical Center | Family Medicine | 2755 S Highway 14, Suite 1200f, Greer, SC 29650-4902 | 2015-07-24 |
| 1720470206 | Spartanburg Medical Center | Allergy & Immunology | 2755 S Highway 14, Suite 1200h, Greer, SC 29650-4902 | 2015-02-20 |
| 1174940498 | Spartanburg Medical Center | Internal Medicine | 2755 S Highway 14, Suite 2500, Greer, SC 29650-4941 | 2014-03-25 |
| 1366703845 | James Baker Romine | Physician Assistant | 2755 S Highway 14, Ste 1200l, Greer, SC 29650-4902 | 2012-05-31 |
| 1902124050 | Jenna Elise Rolfs | Physician Assistant | 2755 S Highway 14, Suite 2200, Greer, SC 29650-4902 | 2010-05-13 |
| 1063738656 | Medequip, Inc | Durable Medical Equipment & Medical Supplies | 2755 S Highway 14, Ste 1200l, Greer, SC 29650-4902 | 2010-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946424 | Paul Wong | Family Medicine | 109 Physicians Drive Suite A, Greer, SC 29650 | 2020-06-12 |
| 1992273684 | Christopher Michael Campbell | Pharmacist | 845b S Buncombe Rd, Greer, SC 29650 | 2018-11-12 |
| 1376035618 | Jessica Miller | Dentist | 1494 W Wade Hampton Blvd Ste D, Greer, SC 29650 | 2018-06-02 |
| 1992212872 | Greenville Health Corporation | Pharmacy | 845 S Buncombe Rd Ste D, Greer, SC 29650 | 2018-01-02 |
| 1114432077 | Spartanburg Medical Center | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200m, Greer, SC 29650 | 2017-12-13 |
| 1437679750 | Sanders Healthcare LLC | Home Health | 110 W. Church St., Suite A, Greer, SC 29650 | 2017-06-27 |
| 1306291117 | James Elliott Crouch | Occupational Therapy Assistant | 1305 Boilings Springs Rd., Greer, SC 29650 | 2016-04-29 |
| 1033593389 | Premier Medical Transport Service | Non-emergency Medical Transport (VAN) | 120 Glenaire Dr, Greer, SC 29650 | 2015-07-16 |
| 1104176429 | Suchi Chomal | Pharmacist | 6 Colby Ct, Greer, SC 29650 | 2012-09-13 |
| 1447500822 | John Varner | Pharmacist | 821 S. Batesville Road, Greer, SC 29650 | 2012-09-13 |
| Find all providers in zip 29650 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164414926 | Wayne Franklin Sease Jr. | Family Medicine | 315 Medical Pkwy, Suite 100, Greer, SC 29650-2456 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023513199 | Pain Treatment Centers LLC | Family Medicine | 505 W Palmetto St, Florence, SC 29501-4427 | 2018-03-29 |
| 1821512302 | Arcis Healthcare, LLC | Family Medicine | 1951 Clements Ferry Rd Ste 100, Charleston, SC 29492-7724 | 2017-07-27 |
| 1225331119 | Mona Med Group Inc | Family Medicine | 8484 Dorchester Rd, Charleston, SC 29420-7319 | 2010-12-14 |
| 1376742411 | Jeffrey P Holloway | Family Medicine | 9 Medical Park, Suite 200-a, Columbia, SC 29203-6878 | 2007-07-17 |
| 1629138698 | Andrew William Torrance | Family Medicine | 211 High Gate Loop, Aiken, SC 29803-3921 | 2006-12-11 |
| 1508876434 | Andrew Thomas Mcgown | Family Medicine | 2 Medical Park Rd Ste 104, Columbia, SC 29203-6839 | 2006-08-09 |
| 1619945615 | Brian N. Anderson | Family Medicine | 81 Main Street, Hilton Head, SC 29926 | 2006-03-08 |
| 1629041009 | Mcleod Physician Associates II | Family Medicine | 2437 Willwood Dr, Florence, SC 29501-3904 | 2006-02-08 |
| 1821089434 | Hilton Head Sports Medicine | Family Medicine | 22 Bethea Dr, Hilton Head Island, SC 29926-4702 | 2005-11-02 |
| 1104812874 | David M. Jenkinson | Family Medicine | 935 W 2nd St, Swansea, SC 29160-8665 | 2005-09-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.