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

Mr. James Dylan Lackey, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1205403151

Mr. James Dylan Lackey, FNP-BC is a Nurse Practitioner in Atlanta, Georgia. Graduated from University of South Alabama College of Medicine in 2018, 8 years ago. Practices with AIDS Healthcare Foundation, a 101-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
8
Trained at
University of South Alabama College of Medicine
Licensed in
GA
In the registry since
2021
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1438 W Peachtree St NW
Atlanta, GA 30309-2998
Phone: (470) 283-7349
Fax: (833) 689-2507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN282621 (GA)

Record details

NPI number1205403151
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJune 9, 2021
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Aids Healthcare Foundation — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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