Active NPI
Lucius Lewis Jr., CRNA
- Certified Registered Nurse Anesthetist
- Clarksdale, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R868756
- Practice address
- 1970 Hospital Dr
Clarksdale, MS 38614-7202 - Phone
- (662) 624-3401
- Fax
- (662) 627-5440
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- 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 | R868756 | MS | Primary |
Addresses
Primary practice location
1970 Hospital Dr
Clarksdale, MS 38614-7202
Mailing address
103 Thornwood Dr
Clinton, MS 39056-6226
Phone (662) 588-0277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04225557 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1030 River Oaks Dr
Flowood, MS 39232-9553
Phone (601) 932-1030
1225 N State St
Ms Baptist Medical Center
Jackson, MS 39202-2064
Phone (601) 317-2802
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R868756 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Consultants PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Perioperative Services of Mississippi, LLC | Current | Accepting new patients | |
| Smso Anesthesia, LLC | Past | Accepting new patients | |
| Madison Hma LLC | Past | Accepting new patients | |
| Mid-Louisiana Anesthesia Consultants, Apmc | Past | Accepting new patients | |
| North Madison Physician Billing | Past | Accepting new patients | |
| Parish Anesthesia of New Orleans, LLC | Past | Accepting new patients | |
| Surgical Anesthesia Associates, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| PHC-Cleveland LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Madison Hma Physician Management LLC | Past | Accepting new patients |
Locations
350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500
161 River Oaks Dr
Canton, MS 39046
Phone (601) 855-4000
1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000
Interoperability endpoints
- llewis219386@ummc.direct-ci.com
Organizations & group practices 10
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
- Jackson, MS
- NPI 1750300836
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1881123123
-
- Multi-Specialty Clinic/Center
- Canton, MS
- NPI 1578129177
-
- Obstetrics & Gynecology Physician
- Canton, MS
- NPI 1740359249
-
- Emergency Medical Services (Emergency Medicine) Physician
- Canton, MS
- NPI 1487727525
-
dba Bolivar Medical Center
- Anesthesiology Physician
- Cleveland, MS
- NPI 1528158532
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1346287281
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Alexandria, LA
- NPI 1205888914
-
- Anesthesiology Physician
- New Orleans, LA
- NPI 1134266380
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
-
dba Merit Health River Oaks
- General Acute Care Hospital
- Flowood, MS
- NPI 1396792032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378252800000",
"number": "1881768059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 THORNWOOD DR",
"city": "CLINTON",
"state": "MS",
"postal_code": "390566226",
"telephone_number": "662-588-0277",
"fax_number": "804-545-0652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 HOSPITAL DR",
"city": "CLARKSDALE",
"state": "MS",
"postal_code": "386147202",
"telephone_number": "662-624-3401",
"fax_number": "662-627-5440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "LUCIUS",
"name_suffix": "Jr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2013-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "R868756",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04225557",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarksdale, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.