P Praxis·MD
● Active Type 1 · Individual

DR. Jerry Allen Lucas, MD

Obstetrics & Gynecology·Savannah, GA· NPI 1912016742 · Enumerated 2006 · 19 years on NPI
Lucas is 1 of 2 obstetrics & gynecology providers in Savannah and 1 of 84 in Georgia.
NPI age
19 years
Enumerated 2006-08-29
Primary specialty
Obstetrics & Gynecology
Plus 1 subspecialty
Licensed in
GA, VA
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-06-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 84 active obstetrics & gynecology providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 92% — 7% of peers are multi-state
Subspecialties
1
In the 15% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
5354 Reynolds St Ste 315
Savannah, GA 314056010
📞 9123542634
Mailing address
836 E 65th St Ste 22
Savannah, GA 314054493
📞 9128197171fax 9126919287

Additional practice locations

1 secondary location on file with NPPES.

Location 2
870 Austin Dr Ste A
Demorest, GA 305354585
📞 7067547346

Specialties

  • Obstetrics & Gynecology Primary
    A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions.
    GA license #90992 taxonomy 207VX0000X
  • Obstetrics & Gynecology
    An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
    VA license #0101055788 taxonomy 207V00000X

Identifiers

TypeValueNotes
01 (VA) 45748 OPTIMA SENTARA ID#
01 (VA) 160043283Q RAILROAD MEDICARE ID#
01 (VA) 541467765 TAX ID#
05 (VA) 006210082
01 (VA) 20507 VIRGINIA PREMIER ID #
01 (VA) 952279 AETNA ID#
01 (GA) 90992 STATE LICENSE
01 (VA) 5414523 AETNA
01 (VA) 271664 ANTHEM BC/BS ID#
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

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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