Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kevin James Lacy, MD

Individual provider Diagnostic Radiology Physician · NPI 1982232690

Dr. Kevin James Lacy, MD is a Diagnostic Radiology in Jacksonville, Florida. Graduated from Virginia Commonwealth University, School of Medicine in 2020, 6 years ago. Licensed in Florida.

Years since qualifying
6
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
FL
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence ME180763 (FL)

Record details

NPI number1982232690
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2020
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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