Provider Profile

Kevin Lack, P.A.-C

Unclaimed Profile

About Kevin Lack

Listed in the NPI registry as a physician assistant — surgical, Kevin Lack, P.A.-C practices in Augusta, GA. According to Medicare claims data, Kevin cared for 94 Medicare patients across 439 services. The services billed most often include preparation of skin graft site of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less, subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes, and preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.

Education & Training

School Other Graduated: 2004

Specialty

Physician Assistant — Surgical (Primary)
Physician Assistant — Surgical (Additional)
Physician Assistant — Surgical (Additional)
Physician Assistant — Surgical (Additional)
Physician Assistant — Surgical (Additional)

Credentials & Licensing

GA license4292
FL licensePA9106353
ID licensePA-1765
SC licensePA1198
TN licensePA0000001669
NPI1417924028
NPI issued03/02/2006

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Kevin Lack?

Kevin Lack is a physician assistant in Augusta, GA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Physician Assistant — Surgical”.

NPI registry

What is Kevin Lack's address?

Kevin Lack is listed at 3675 J Dewey Gray Circle Suite 300, Augusta, GA 30909. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Kevin Lack?

The number on file is (706) 863-9595. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Kevin Lack's NPI number?

Kevin Lack's National Provider Identifier is 1417924028. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Kevin Lack train?

Kevin Lack attended Other, graduating in 2004. This comes from the CMS National Downloadable File.

CMS public data

How long has Kevin Lack been practicing?

Kevin Lack has 22 years experience. Calculated from a graduation year of 2004, reported in the CMS National Downloadable File.

CMS public data

What procedures does Kevin Lack perform?

According to Medicare billing data, Kevin Lack performs procedures including preparation of skin graft site of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less, preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less and preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Has Kevin Lack confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Kevin Lack. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.