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

Dr. Thaddeus Ivory Lancaster, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1316904923

Dr. Thaddeus Ivory Lancaster, MD is an Obstetrics/Gynecology in Duluth, Georgia. Graduated from Meharry Medical College School of Medicine in 2002, 24 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group and accepts Medicare assignment. Licensed in Georgia and Maryland.

Years since qualifying
24
Trained at
Meharry Medical College School of Medicine
Licensed in
GA, MD
In the registry since
2006
Specialties on file
2
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

3855 Pleasant Hill Rd Ste 100
Duluth, GA 30096-8030
Phone: (678) 312-7800
Fax: (678) 312-7818
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Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 73192 (GA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 073192 (MD)

Record details

NPI number1316904923
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 27, 2006
Last updated in NPPESJanuary 18, 2022
Mailing addressPo Box 116156, Atlanta, GA 30368-6156

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolMEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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