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

Kelly Jo Lucas

Individual provider Family Nurse Practitioner · NPI 1295506798

Kelly Jo Lucas is a Nurse Practitioner in Randleman, North Carolina. Graduated from University of Alabama School of Medicine in 2023, 3 years ago. Practices with Forsyth Medical Group, LLC, a 48-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Trained at
University of Alabama School of Medicine
Licensed in
NC
In the registry since
2024

Practice location Address checks out

670 W Academy St
Randleman, NC 27317-9748
Phone: (336) 498-8500
Fax: (336) 498-8522
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 292083 (NC)

Record details

NPI number1295506798
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 12, 2024
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 13, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Forsyth Medical Group, Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Randleman