Lucas Drew Southerland, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3739 Issued in SC

Practice address

1092 Johnnie Dodds Blvd
Suite 107
Mount Pleasant, SC 29464

Phone

(423) 748-0506

NPI assigned

Aug 29, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2011

Medicare assignment

May accept Medicare assignment

Group practices

HP Spine Center IncGroup PAC ID 1355501842, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• HP Spine Center Inc

  • Chiropractor
  • Smyrna, GA
  • NPI 1124115381
  Medicare reassignment Care Compare group NPD
• Parkerson Chriopractic Clinic Inc.

  • Chiropractor
  • Smyrna, GA
  • NPI 1861768145
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1124377734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1092 JOHNNIE DODDS BLVD",
            "address_2": "SUITE 107",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "423-748-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1092 JOHNNIE DODDS BLVD",
            "address_2": "SUITE 107",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "423-748-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHERLAND",
        "first_name": "LUCAS",
        "middle_name": "DREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeastern Fertility Center PA
• Southeastern Ocularists, Inc.
• Southeastern Spine Institute,LLC
• Southeastern Vision Institute LLC
• Southerland Spine Center, LLC
• Southern Grace Pain & Regenerative Medicine
• Southern Orthopedics and Sports Medicine, LLC
• Southern Tides Dental
• Karmal Spaeth, L. AC.
• Irene-Margarette Louis Spanos, APRN

• Chiropractor in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.