Active NPI
Lucyle J. Copeland, MD
- Certified Registered Nurse Anesthetist
- Beaufort, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 799
- Practice address
- 955 Ribaut Road
Beaufort, SC 29902 - Phone
- (803) 454-2600
- Fax
- (803) 765-1732
- NPI assigned
- Mar 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 799 | SC | Primary |
Addresses
Primary practice location
955 Ribaut Road
Beaufort, SC 29902
Mailing address
PO Box 1927
Columbia, SC 29202
Phone (803) 765-1838
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN0658 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
955 Ribaut Rd
Beaufort, SC 29902-5441
Phone (800) 228-0249
Hospital & facility affiliations
- Beaufort County Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 799 | SC | MD | Registered Dietitian |
| 26328 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartsville, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Kershaw Anesthesia, LLC | Current | Accepting new patients | |
| Low Country Anesthesia, PA | Current | Accepting new patients | |
| Coastal Healthcare Resources Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Beaufort County Memorial Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| American Anesthesiology of South Carolina, LLC | Past | Accepting new patients | |
| Anesthesia Network Services, LLC | Past | Accepting new patients | |
| Beaufort County Memorial Hospital | Past | Accepting new patients |
Locations
955 Ribaut Rd
#11
Beaufort, SC 29902
Phone (843) 522-5007
955 Ribaut Rd
Ste 11
Beaufort, SC 29902
Phone (843) 522-5746
955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200
1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311
1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366
3545 Highway 17
Murrells Inlt, SC 29576
Phone (843) 294-1941
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Beaufort, SC
- NPI 1417928268
-
- Anesthesiology Physician
- Florence, SC
- NPI 1467635128
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Hartsville, SC
- NPI 1174500458
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Camden, SC
- NPI 1073986048
-
- Anesthesiology Physician
- Florence, SC
- NPI 1710915715
-
- Certified Registered Nurse Anesthetist
- Beaufort, SC
- NPI 1467423178
Nurse Anesthetist, Certified Registered
-
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1871335018
-
- Anesthesiology Physician
- Ocala, FL
- NPI 1508199142
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190160000000",
"number": "1770542185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1927",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29202",
"telephone_number": "803-765-1838",
"fax_number": "803-765-1732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 RIBAUT ROAD",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "29902",
"telephone_number": "803-454-2600",
"fax_number": "803-765-1732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPELAND",
"first_name": "LUCYLE",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2007-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "799",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN0658",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.