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

MS. Lacy Johnson Conry, PA

Individual provider Medical Physician Assistant · NPI 1205356565

MS. Lacy Johnson Conry, PA is a Physician Assistant in Bartlett, Tennessee. Qualified in 2017, 9 years ago. Practices with UT Regional One Physicians Inc, a 327-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
9
Licensed in
TN
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3045 Kate Bond Rd
Bartlett, TN 38133-4004
Phone: (901) 641-3000
Fax: (901) 373-3804
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 (2)

  • 2100 Exeter Rd Ste 200, Germantown, TN 38138-3966 — (901) 641-3000
  • 4515 Poplar Ave Ste 206, Memphis, TN 38117-7506 — (901) 381-4664

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 3316 (TN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 3316 (TN)

Record details

NPI number1205356565
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 27, 2017
Last updated in NPPESApril 20, 2021
Certification dateApril 20, 2021
Mailing address6077 Primacy Pkwy Ste 140, Memphis, TN 38119-5742

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ut Regional One Physicians Inc — 327 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bartlett