Active NPI
Lucius Clayton Andrews Jr., MD
- Emergency Medicine Physician
- Vancleave, MS
National Provider Identifier
1285648659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 15191
- Practice address
- 12000 Highway 57
Vancleave, MS 39565-8235 - Phone
- (228) 205-4000
- NPI assigned
- Jul 28, 2006
- Last updated
- Jul 3, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0118026 | Medicaid | MS |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15623 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Health Urgent Care | Current | 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.
-
- Emergency Medicine Physician
- Bay Saint Louis, MS
- NPI 1184912354
-
- Multi-Specialty Clinic/Center
- Bay St Louis, MS
- NPI 1093811051
-
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1275638272
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.