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

Elijah Austin Lackey, MD

Individual provider Neurology Physician · NPI 1821594219

Elijah Austin Lackey, MD is a Neurology in Fort Collins, Colorado. Qualified in 2017, 9 years ago. Practices with Advanced Neurology of Colorado LLC, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
9
Licensed in
CO
In the registry since
2018
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

2121 E Harmony Rd
Fort Collins, CO 80528-3400
Phone: (970) 226-6111
Fax: (970) 226-6707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 2022-00049 (CO)

Record details

NPI number1821594219
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2018
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026
Mailing address2121 E Harmony Rd Unit 180, Fort Collins, CO 80528-3401

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Advanced Neurology Of Colorado Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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