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

Lucas William Mattox

Individual provider Registered Nurse · NPI 1306516794

Lucas William Mattox is a Certified Registered Nurse Anesthetist (CRNA) in Madison, Tennessee. Qualified in 2023, 3 years ago. Practices with Northstar Anesthesia III PA, a 399-clinician group and accepts Medicare assignment. Licensed in Tennessee and Texas.

Years since qualifying
3
Licensed in
TN, TX
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

315 Hospital Dr
Madison, TN 37115-5030
Phone: (615) 732-7662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 1150844 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 251418 (TN)

Record details

NPI number1306516794
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 16, 2021
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024
Mailing address6001 Old Hickory Blvd Apt 323, Hermitage, TN 37076-3036

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northstar Anesthesia Iii Pa — 399 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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