Individual provider Active NPI

C Clay Craighead III, M.D.

  • Vascular Surgery Physician
  • Morgan City, LA
National Provider Identifier
1689634453
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
15252 Issued in LA
Practice address
1151 Marguerite St
Suite 600
Morgan City, LA 70380-1850
Phone
(985) 384-3171
Fax
(985) 384-3173
NPI assigned
Mar 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 15252 LA Primary

Addresses

Primary practice location

1151 Marguerite St
Suite 600
Morgan City, LA 70380-1850

Mailing address

1124 7TH St
Morgan City, LA 70380-1951
Phone (985) 384-3171

Other identifiers 1

IdentifierTypeStateIssuer
1348261MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20040310000438 LA Practitioner - Emergency MedicinePractitioner - Vascular Surgery 0042108011 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Tulane University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Teche Emergency Group LLCGroup PAC ID 0547456295, 7 clinicians
Raceland Emergency Group LLCGroup PAC ID 4082028261, 12 clinicians

Practice addresses (Care Compare)

1097 Northwest Blvd
Franklin, LA 70538-3407
Phone (337) 828-0760

4608 Hwy 1
Raceland, LA 70394-2623
Phone (985) 537-6841

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.02 of 100Reported as group
Quality
73.51
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
88.04
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15252LAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raceland Emergency Group, LLC CurrentSince Mar 23, 2021 Accepting new patients
Rapid Urgent Care, Inc Current Accepting new patients
St. John Emergency Group LLC CurrentSince Sep 24, 2017 Accepting new patients
Rapid Urgent Care, Inc. CurrentSince Sep 7, 2017 Accepting new patients
Teche Emergency Group LLC CurrentSince Apr 15, 2020 Accepting new patients
Rapid Urgent Care, Inc. CurrentSince Sep 7, 2017 Accepting new patients
St Martin Emergency Group LLC CurrentSince Nov 23, 2019 Accepting new patients
Abbeville Emergency Group LLC CurrentSince May 1, 2020 Accepting new patients
Concord North Texas, PLLC CurrentSince Jan 1, 2020 Accepting new patients
Hospital Service District No. 2 Past Accepting new patients
Fairway Medical Urgent Care LLC Past Accepting new patients

Locations

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

1097 Northwest Blvd
Franklin, LA 70538
Phone (337) 355-1269

1900 W Airline Hwy
La Place, LA 70068
Phone (985) 652-7000

1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600

3908 Veterans Memorial Blvd
Ste 5
Metairie, LA 70002
Phone (504) 218-8959

4608 Highway 1
Raceland, LA 70394
Phone (504) 537-6841

Organizations & group practices 11

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 2

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": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689634453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 7TH ST",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801951",
            "telephone_number": "985-384-3171",
            "fax_number": "985-384-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 MARGUERITE ST",
            "address_2": "SUITE 600",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801850",
            "telephone_number": "985-384-3171",
            "fax_number": "985-384-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIGHEAD",
        "first_name": "C",
        "middle_name": "CLAY",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "LA",
            "license": "15252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1348261",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan City, LA

Sources for this page

Verify at the official NPI Registry.