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

Lacy Holland Lacey, AGACNP-BC

Individual provider Nurse Practitioner · NPI 1346725264

Lacy Holland Lacey, AGACNP-BC is a Nurse Practitioner in Marietta, Georgia. Qualified in 2018, 8 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2018
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

677 Church St NE
Marietta, GA 30060-1101
Phone: (770) 422-2326
Fax: (770) 422-7797
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 — (762) 235-2150

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN230232 (GA)

Record details

NPI number1346725264
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedSeptember 26, 2018
Last updated in NPPESNovember 14, 2022
Certification dateNovember 14, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Marietta