NPIMap

Individual provider Active NPI

Lucius Craig III, M.D.

  • Orthopaedic Surgery Physician
  • Terrytown, LA
National Provider Identifier
1457309098
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
28692 Issued in SC
Practice address
2600 Belle Chasse Hwy
Suite I
Terrytown, LA 70056-7156
Phone
(504) 391-7670
Fax
(504) 378-9437
NPI assigned
May 5, 2006
Last updated
Apr 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X MD 024907 LA
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 28692 SC
Orthopaedic Surgery Physician 207X00000X 28692 SC Primary

Addresses

Primary practice location

2600 Belle Chasse Hwy
Suite I
Terrytown, LA 70056-7156

Mailing address

PO Box 1245
Orangeburg, SC 29116-1245
Phone (803) 395-4497

Other identifiers 3

IdentifierTypeStateIssuer
28692OtherSCMEDICAL LICENSE
M1607OtherTXTEXAS MEDICAL LICENSE
MD024907OtherLALA STATE MEDICAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061030000414 SC Practitioner - Orthopedic Surgery 7810926391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Louisiana State University School of Medicine in Shreveport, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

1175 Cook Rd
Orangeburg, SC 29118-8201
Phone (843) 792-1414

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 024907LAMDSports Medicine (Neuromusculoskeletal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Mar 1, 2023 Accepting new patients
Musc Community Physicians Orthopaedic Surgery CurrentSince Mar 1, 2023 Accepting new patients
Bone & Joint Clinic Orthopaedic Surgery Past Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients
Northlake Neurological Institute LLC Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1175 Cook Rd
Ste 215
Orangeburg, SC 29118
Phone (803) 395-3837

1175 Cook Rd
Ste 320
Orangeburg, SC 29118
Phone (803) 395-3960

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1179/brand/1/csg/101/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/3401/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1457309098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1245",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291161245",
            "telephone_number": "803-395-4497",
            "fax_number": "803-395-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 BELLE CHASSE HWY",
            "address_2": "SUITE I",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700567156",
            "telephone_number": "504-391-7670",
            "fax_number": "504-378-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "LUCIUS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "LA",
            "license": "MD 024907",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "SC",
            "license": "28692",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "28692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "28692",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "M1607",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA STATE MEDICAL LICENSE",
            "identifier": "MD024907",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrytown, LA

Sources for this page

Verify at the official NPI Registry.