DR. JERRY ALLEN LUCAS (MD) – Obstetrics Physician, NPI 1912016742

DR. JERRY ALLEN LUCAS (MD) is a healthcare provider. based in Savannah, Georgia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 0101055788 (VA). The NPI Number for DR. JERRY ALLEN LUCAS (MD) is 1912016742

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. JERRY ALLEN LUCAS (MD)
NPI
1912016742
Phone
(912) 819-7171
Address
836 E 65TH ST STE 22
Enumeration Date
29 August 2006
Last Update Date
5 June 2024

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
9123555755
Graduation Year
1993 (33 years ago)
PAC ID
9032263876
Group Practice PAC ID
4385909936
Professional Enrollment ID
I20220128001133
Address ID
GA314056087SA5353XSTXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,266 OBSTETRICS/GYNECOLOGY in GA

Provider Addresses for DR. JERRY ALLEN LUCAS (MD)

  • 836 E 65TH ST STE 22

    SAVANNAH, GA 314054493

    Phone: (912) 819-7171

    Fax: (912) 691-9287

    Type: Mailing

  • 870 Austin Dr Ste A

    Demorest, GA 305354585

    Phone: (706) 754-7346

    Type: Location

  • 5204 PAULSEN ST

    SAVANNAH, GA 314054704

    Phone: (912) 819-4491

    Fax: (912) 819-4173

    Type: Mailing

  • 5354 REYNOLDS ST STE 315

    SAVANNAH, GA 314056010

    Phone: (912) 354-2634

    Type: Location

  • 2010, Atherholt Road, Dearington, Lynchburg, Lynchburg (city), Virginia, 24501, United States

    LYNCHBURG, VA 245011106

    Phone: (434) 200-5047

    Type: Mailing

  • Centra Southside Community Hospital, 800, Oak Street, Farmville, Prince Edward County, Virginia, 23901, United States

    FARMVILLE, VA 239011199

    Phone: (434) 315-2998

    Fax: (434) 392-8191

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $304.

Total Amount is formed as General ($304) + Research ($0) + Ownership ($0) = $304.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($128).

Total Amount

$304

General + Research + Ownership

Payments

12

Total payment records

General Amount

$304

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-01-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090813000501IObstetrics/GynecologyVATBD
I20220128001133IObstetrics/GynecologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31405)

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Provider's Procedures

DR. JERRY ALLEN LUCAS (MD) performs procedures in OBSTETRICS/GYNECOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OBSTETRICS/GYNECOLOGYVA76830Ultrasound pelvis through vagina1311

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385909936View full group profile
NameSpecialtyState
Nurse PractitionerGA
-GA
O B S T E T R I C S/ G Y N E C O L O G YSC
-GA
-GA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YSC
Nurse PractitionerGA
O B S T E T R I C S/ G Y N E C O L O G YGA

Reviews

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Frequently asked questions

What is the standard ID for DR. JERRY ALLEN LUCAS (MD) in the U.S.?
In the U.S., DR. JERRY ALLEN LUCAS (MD) is identified by NPI 1912016742.
Is DR. JERRY ALLEN LUCAS (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. JERRY ALLEN LUCAS (MD) as active.
How should patients interpret DR. JERRY ALLEN LUCAS (MD)'s specialty?
The extract shows Obstetrics Physician for DR. JERRY ALLEN LUCAS (MD). Clinical services aligned with this taxonomy classification.
Can patients visit DR. JERRY ALLEN LUCAS (MD) in Savannah, Georgia?
For routing, start with Savannah, Georgia for DR. JERRY ALLEN LUCAS (MD), then verify phone and hours locally.
Who maintains DR. JERRY ALLEN LUCAS (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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