Individual provider Active NPI

Lucyle J. Copeland, MD

  • Certified Registered Nurse Anesthetist
  • Beaufort, SC
National Provider Identifier
1770542185
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
799 Issued in SC
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

Updated by the provider on Sep 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AN0658MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040607000584 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729060306 Reassigns benefits to 4 organizations

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
Low Country Anesthesia, PAGroup PAC ID 8729063797, 62 clinicians

Practice addresses (Care Compare)

955 Ribaut Rd
Beaufort, SC 29902-5441
Phone (800) 228-0249

Hospital & facility affiliations

  • Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
799SCMDRegistered Dietitian
26328SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartsville, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 14, 2013 Accepting new patients
Kershaw Anesthesia, LLC CurrentSince Jan 1, 2016 Accepting new patients
Low Country Anesthesia, PA CurrentSince Mar 1, 2017 Accepting new patients
Coastal Healthcare Resources Inc Nurse Anesthetist, Certified Registered CurrentSince May 21, 2013 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.

Hospital & facility affiliations 1

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": "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.

Verify at the official NPI Registry.