Kevin Lack, P.A.-C
Surgical Physician Assistant · Augusta, GA
Kevin Lack, P.A.-C is a surgical physician assistant with a practice address in Augusta, Georgia, and NPI 1417924028, issued on Mar 2, 2006. Check the license (Georgia 4292, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kevin Lack
- Credential
- P.A.-C
- Primary taxonomy
- Surgical Physician Assistant 363AS0400X
- License numbers
- 4292 GA
PA9106353 FL
PA-1765 ID
PA1198 SC
PA0000001669 TN
Self-reported in NPPES; status is on the state search - Practice location
- 3675 J Dewey Gray Circle, Augusta, GA 30909
- Phone
- (706) 863-9595
- Enumerated
- Mar 2, 2006
- Record last updated
- Mar 10, 2025
- Fax
- (888) 745-3917
- Medicare enrollment
- Enrolled (PECOS I20041004000710); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 3675 J Dewey Gray Circle
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Juan Colon-Santini, M.D.Pediatrics Physician1033186358
- Charles Gertler, P.A.-CSurgical Physician Assistant1356318679
- S.m. Abu Zaheed Hassan, M.D.Plastic and Reconstructive Surgery Physician1144297466
- Jocelyn Hills, NPNurse Practitioner1346217957
- Shellie Lutz, PAPhysician Assistant1366675787
- Janice Miller, P.A.-CSurgical Physician Assistant1447227053
Verify Kevin Lack in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license 4292Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
91% fewer Medicare Part D claims than the average surgical physician assistant in 2024
27 Medicare Part D claims for 17 beneficiaries, against an average of 304 among the 10,174 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through one group practice
- Joseph M Still Burn Centers, IncAugusta, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Surgical Physician Assistant providers in Georgia
There are 531 surgical physician assistant records in Georgia.
Other surgical physician assistant records in Georgia
- Beniam Abebe, PA-CAtlanta, GA1336623222
- Jennifer Adams, PA-CMarietta, GA1942648134
- Sara Adams, PA-CMarietta, GA1124504675
- Diana Adebulehin, P.A.-C.Decatur, GA1700965159
- Austin Adler, PA-CMarietta, GA1750752762
- Akinola Akintade, SURGICAL ASSISTANTTucker, GA1861760712
- Anthony Allen, PA-CConyers, GA1457441222
- Ivey Allen, P.A.Thomasville, GA1205119005
- Katherine Allen, P. A.Gainesville, GA1629180229
- Azez Amen, PAGainesville, GA1902509904
Common questions
What is Kevin Lack, P.A.-C's NPI number?
Kevin Lack, P.A.-C's National Provider Identifier (NPI) is 1417924028, issued on Mar 2, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kevin Lack, P.A.-C located?
The NPPES record lists a practice address at 3675 J Dewey Gray Circle, Augusta, GA, 30909. Phone: (706) 863-9595. Providers update this record themselves, so call before visiting.
How can I verify Kevin Lack, P.A.-C's license?
NPPES lists Georgia license number 4292, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
How much does Kevin Lack, P.A.-C prescribe under Medicare Part D?
In 2024, Kevin Lack, P.A.-C had 27 Medicare Part D claims for 17 beneficiaries; the average among surgical physician assistant prescribers was 304. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.