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

Justin Roland Lucas

Individual provider Family Medicine Physician · NPI 1356804454

Justin Roland Lucas is a Family Practice in Raleigh, North Carolina. Qualified in 2019, 7 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2605 Blue Ridge Rd Ste 300
Raleigh, NC 27607-6475
Phone: (919) 787-3448
Fax: (919) 232-0006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2131 S 17th St, Wilmington, NC 28401-7407 — (910) 343-7000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2023-01295 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 250421 (NC)

Record details

NPI number1356804454
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 8, 2019
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Raleigh