NPIMap

Individual provider Active NPI

Michael David Lucas, CRNA

  • Certified Registered Nurse Anesthetist
  • Greenville, SC
National Provider Identifier
1508116054
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28055 Issued in SC
Practice address
7 Independence PT Ste 300
Greenville, SC 29615-4569
Phone
(864) 522-3700
Fax
(864) 522-3705
NPI assigned
Sep 12, 2012
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X COA.13841-NA OH
Certified Registered Nurse Anesthetist 367500000X 28055 SC Primary

Addresses

Primary practice location

7 Independence PT Ste 300
Greenville, SC 29615-4569

Mailing address

300 E McBee Ave Ste 300
Greenville, SC 29601-2899
Phone (864) 522-3100

Other practice location 1

793 W State St
Columbus, OH 43222-1551
Phone (614) 552-0061

Other practice location 2

2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, SC, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130228000545 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092960823 Reassigns benefits to 5 organizations
I20240110002231 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092960823 Reassigns benefits to 4 organizations
I20260212003654 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092960823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians
Ad of South Carolina LLCGroup PAC ID 6901269224, 28 clinicians
CHS Anesthesia Services Group IncGroup PAC ID 5799007324, 742 clinicians

Practice addresses (Care Compare)

2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2460

302 University Pkwy
Aiken, SC 29801-6302
Phone (888) 851-4642

7 Independence PT
Suite 300
Greenville, SC 29615-4569
Phone (864) 522-3700

8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6000

920 Church St N
Concord, NC 28025-2927
Phone (704) 403-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
COA.13841-NAOHMDCertified Registered Nurse Anesthetist
28055SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Sep 8, 2025 Accepting new patients
Ad of South Carolina LLC CurrentSince Oct 8, 2024 Accepting new patients
Beach Anesthesia, LLC CurrentSince Oct 1, 2025 Accepting new patients
Genesis Anesthesia Providers, LLC CurrentSince Feb 1, 2019 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
CHS Anesthesia Services Group Inc CurrentSince Feb 16, 2026 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Northstar Anesthesia of Ohio LLC CurrentSince Oct 1, 2014 Accepting new patients
Prisma Health University Medical Group CurrentSince Sep 8, 2025 Accepting new patients
Premier Anesthesia of Ohio LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 5, 2014 Accepting new patients
Lexington Health Inc Current Accepting new patients
Lexington Health Inc CurrentSince Dec 1, 2023 Accepting new patients
Lexington Health Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2023 Accepting new patients

Locations

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

2907 Bell St
Zanesville, OH 43701
Phone (740) 455-6300

2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200

5 Richland Medical Park Dr
Columbia, SC 29203
Phone (803) 434-2168

7035 Saint Andrews Rd
Columbia, SC 29212
Phone (803) 749-0924

300 E McBee Ave
Ste 300
Greenville, SC 29601

67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602

7 Independence Pt
Ste 300
Greenville, SC 29615
Phone (864) 522-3700

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480

Interoperability endpoints

  • Direct secure messaging: mlucas169856@direct.lexmed.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1508116054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012899",
            "telephone_number": "864-522-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 INDEPENDENCE PT STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154569",
            "telephone_number": "864-522-3700",
            "fax_number": "864-522-3705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "793 W State St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432221551",
            "country_code": "US",
            "telephone_number": "614-552-0061",
            "fax_number": "614-552-0168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2720 Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291694810",
            "country_code": "US",
            "telephone_number": "803-791-2203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-12",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "COA.13841-NA",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "28055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.
  • 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.