Active NPI
Clayton Gregory Mazoue, M.D.
- Family Medicine Physician
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 93192
- Practice address
- 7035 Saint Andrews Rd
Columbia, SC 29212-1177 - Phone
- (803) 749-0924
- NPI assigned
- Jun 13, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD.200841 | LA | |
| Family Medicine Physician | 207Q00000X | 93192 | SC | Primary |
Addresses
Primary practice location
7035 Saint Andrews Rd
Columbia, SC 29212-1177
Mailing address
PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 791-2203
Other practice location 1
708 W Esplanade Ave
Kenner, LA 70065-2736
Phone (504) 503-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1072923 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cmazoue181755@direct.lexmed.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in New Orleans, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7035 Saint Andrews Rd
Columbia, SC 29212-1177
Phone (803) 407-4100
Hospital & facility affiliations
- Lexington Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.200841 | LA | MD | Family Medicine Physician |
| 93192 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Health Inc | Current | Accepting new patients | |
| Vumd, Inc. | Family Medicine | Current | Accepting new patients |
| Lexington Health Inc | Family Medicine | Current | Accepting new patients |
| Metairie Physician Services Inc. | Current | Accepting new patients | |
| Lexington County Health Services District Inc | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| Lexington County Health Services District, Inc. | Past | Accepting new patients |
Locations
2701 N Causeway Blvd
Metairie, LA 70002
Phone (504) 301-0100
701 Metairie Rd
Ste 2A208
Metairie, LA 70005
Phone (504) 832-0646
4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109
7030 Canal Blvd
Fl 2
New Orleans, LA 70124
Phone (504) 503-6760
7035 Saint Andrews Rd
Columbia, SC 29212
Phone (803) 749-0924
811 W Main St
Lexington, SC 29072
811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230
Interoperability endpoints
- clayton.mazoue@direct.ejgh.org
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- West Columbia, SC
- NPI 1710634753
Family Medicine
-
- Family Medicine Physician
- Metairie, LA
- NPI 1841605367
-
- Urgent Care Clinic/Center
- New Orleans, LA
- NPI 1184162877
-
- General Acute Care Hospital
- West Columbia, SC
- NPI 1356366314
-
- Urgent Care Clinic/Center
- Lexington, SC
- NPI 1275131310
-
- Internal Medicine Physician
- West Columbia, SC
- NPI 1942190988
-
- Internal Medicine Physician
- Metairie, LA
- NPI 1801233648
-
- Urgent Care Clinic/Center
- Columbia, SC
- NPI 1396778056
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Columbia, SC
- NPI 1386241834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742515200000",
"number": "1982808762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6069",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291716069",
"telephone_number": "803-791-2203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7035 SAINT ANDREWS RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292121177",
"telephone_number": "803-749-0924"
}
],
"practiceLocations": [
{
"address_1": "708 W Esplanade Ave",
"address_purpose": "LOCATION",
"city": "Kenner",
"state": "LA",
"postal_code": "700652736",
"country_code": "US",
"telephone_number": "504-503-5100",
"fax_number": "504-503-5101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAZOUE",
"first_name": "CLAYTON",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "MD.200841",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "93192",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1072923",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cmazoue181755@direct.lexmed.com",
"affiliation": "N",
"address_1": "7035 Saint Andrews Rd",
"city": "Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "292121177",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.