RACHAEL CLARK LACKEY


Address: 4681 Us Highway 84 Byp W, Thomasville, GA 31792-2607
Phone: 2292272936

RACHAEL CLARK LACKEY (NPI# 1780922849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780922849
Entity Type Individual
Full Name RACHAEL CLARK LACKEY
Credential ARNP
Practice Address 4681 Us Highway 84 Byp W
Thomasville
GA 31792-2607
Mailing Address 454 Smith Ave
Thomasville
GA 31792-5535
Practice Telephone 2292272936
Practice Fax Number 2292262036
Mailing Telephone 2295842540
Mailing Fax Number 2292262036
Enumeration Date 2013-01-24
Last Update Date 2017-10-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN224594 GA Physician Assistants & Advanced Practice Nursing Providers
N 363LP0200X Nurse Practitioner
Specialization: Pediatrics
ARNP9297951 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL FLORIDA DEPARTMENT OF HEALTH ARNP9297951 01
GA GA LICENSE RN224594 01

Office Location

Street Address 4681 US HIGHWAY 84 BYP W
City THOMASVILLE
State GA
Zip Code 31792-2607

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407375686 Primary Care of Southwest Georgia, Inc Clinic/Center 4681 Us Highway 84 Byp W, Thomasville, GA 31792-2607 2017-09-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245739879 Georgia Pines Community Service Board Community/Behavioral Health 407 Cloverdale Drive, Thomasville, GA 31792 2018-02-09
1932613551 Diana Diaz Physician Assistant 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 2017-11-17
1194249425 Bobbie Frazier Contractor 400 Cloverdale Dr, Thomasville, GA 31792 2017-07-28
1598132292 Southern Scripts, LLC Pharmacy 501 Gordon Avenue, Thomasville, GA 31792 2015-08-28
1508248915 Elizabeth Nicole Keen Behavioral Analyst 121 Covington Ave Apt 9, Thomasville, GA 31792 2015-06-22
1417341579 Sheila L Stanley Counselor 301 Summercreek Cove, Thomasville, GA 31792 2015-03-26
1457749301 Ashley Lamb Speech-Language Pathologist 1203 East Jackson Street, Thomasville, GA 31792 2014-12-30
1831403880 Somnoquest Durable Medical Equipment & Medical Supplies 556 Hall Road, Thomasville, GA 31792 2010-08-02
1508000183 Kashyap B Choksi Internal Medicine 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 2009-04-27
1205008786 Mark J Glaccum Chiropractor 415 Gordon Avenue, Thomasville, GA 31792 2008-03-25
Find all providers in zip 31792

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710594106 Melanie Hattink Nurse Practitioner 101 Meadow Ridge Ct, Thomasville, GA 31792-5091 2020-09-29
1740828078 Lauren Reagan Nurse Practitioner 2012 E Pinetree Blvd Ste A, Thomasville, GA 31792-5572 2019-12-17
1548721053 Lisa Taylor Nurse Practitioner 669 Saint Paul Rd, Thomasville, GA 31757-0704 2019-03-27
1922566181 Charlene Reynolds Nurse Practitioner 119 Holloway Ln, Thomasville, GA 31792-6514 2019-03-06
1053883561 Kevin Franklin Garris Nurse Practitioner 33621 Highway 43 Ste 202, Thomasville, AL 36784-3309 2018-12-21
1740751908 Alethia Cunningham Stephens Nurse Practitioner 514 Tanglewood Dr, Thomasville, GA 31792-6836 2018-12-16
1932670247 Glenda Laverne Diaz Nurse Practitioner 41 Spring Bok Ln, Thomasville, GA 31792-0691 2018-12-12
1700376910 Stephanie Diers Nurse Practitioner 914 S Broad St, Thomasville, GA 31792-6113 2018-05-14
1770003592 Lucas Nathan Williams Nurse Practitioner 216 Glen Arven Dr, Thomasville, GA 31792-7414 2017-06-22
1588011050 Regenia Durwood Hutchins Nurse Practitioner 2691 Fredonia Rd, Thomasville, GA 31757-1038 2016-05-15
Find all providers in THOMASVILLE

Competitor

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City THOMASVILLE
Zip Code 31792

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Dataset Information

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.

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