P Praxis·MD
● Active Type 1 · Individual

DR. James Edwin Luckie JR., D.O.

Family Medicine·Fitzgerald, GA· NPI 1093725079 · Enumerated 2006 · 19 years on NPI
Luckie is 1 of 13 family medicine providers in Fitzgerald and 1 of 5448 in Georgia.
NPI age
19 years
Enumerated 2006-08-09
Primary specialty
Family Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-08-26
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
182 Perry House Rd, Suite E
Fitzgerald, GA 317508721
📞 2294238725fax 2294238726
Mailing address
Po Box 1349
Fitzgerald, GA 317501349
📞 2294238725fax 2294238726

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #19720 taxonomy 207Q00000X

Identifiers

TypeValueNotes
05 (GA) 000153821A
01 (GA) 581331734 TAX IDENTIFICATION NUMBER

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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