Individual provider Active NPI

Lucius Clayton Andrews Jr., MD

  • Emergency Medicine Physician
  • Vancleave, MS
National Provider Identifier
1285648659
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
15191 Issued in MS
Practice address
12000 Highway 57
Vancleave, MS 39565-8235
Phone
(228) 205-4000
NPI assigned
Jul 28, 2006
Last updated
Jul 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 15623 LA
Emergency Medicine Physician 207P00000X 15191 MS Primary

Addresses

Primary practice location

12000 Highway 57
Vancleave, MS 39565-8235

Mailing address

316 Demontluzin Ave
Bay Saint Louis, MS 39520-4408
Phone (504) 258-4286

Other identifiers 1

IdentifierTypeStateIssuer
0118026MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070622000399 MS Practitioner - Emergency Medicine 1254430879 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15623LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Urgent Care CurrentSince Aug 19, 2025 Accepting new patients
Keith Van Meter & Associates Past Accepting new patients
Bay Area Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Van Meter MD & Associates Past Accepting new patients

Locations

73015 Highway 25
Ste A
Covington, LA 70435
Phone (985) 246-2420

12000 Highway 57
Vancleave, MS 39565
Phone (228) 205-4000

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1285648659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 DEMONTLUZIN AVE",
            "city": "BAY SAINT LOUIS",
            "state": "MS",
            "postal_code": "395204408",
            "telephone_number": "504-258-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 HIGHWAY 57",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395658235",
            "telephone_number": "228-205-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "LUCIUS",
        "middle_name": "CLAYTON",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "15623",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "15191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0118026",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancleave, MS

Sources for this page

Verify at the official NPI Registry.