Individual provider Active NPI

Clayton Gregory Mazoue, M.D.

  • Family Medicine Physician
  • Columbia, SC
National Provider Identifier
1982808762
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
93192 Issued in SC
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

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1072923MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmazoue181755@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090402000553 LA Practitioner - Family Practice 3375690621 Reassigns benefits to 2 organizations
I20250130002882 SC Practitioner - Family Practice 3375690621 Reassigns benefits to 1 organization

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
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

7035 Saint Andrews Rd
Columbia, SC 29212-1177
Phone (803) 407-4100

Hospital & facility affiliations

  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.200841LAMDFamily Medicine Physician
93192SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc CurrentSince Dec 15, 2024 Accepting new patients
Vumd, Inc. Family Medicine CurrentSince Apr 28, 2024 Accepting new patients
Lexington Health Inc Family Medicine Current Accepting new patients
Metairie Physician Services Inc. CurrentSince Apr 10, 2017 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington Health Inc CurrentSince Dec 15, 2024 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.