Individual provider Active NPI

Miranda Kaye McCoy, MD

  • Family Medicine Physician
  • North Charleston, SC
National Provider Identifier
1043770100
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
82733 Issued in SC
Practice address
8950 University Blvd Ste 300
North Charleston, SC 29406-9889
Phone
(843) 553-0526
Fax
(843) 606-8017
NPI assigned
Mar 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 82733 SC Primary

Addresses

Primary practice location

8950 University Blvd Ste 300
North Charleston, SC 29406-9889

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043

Other practice location 1

76 Polo Rd
Columbia, SC 29223-2806
Phone (803) 699-7255

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmccoy154954@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220808000807 SC Practitioner - Family Practice 8325378177 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Roper Saint Francis Physicians NetworkGroup PAC ID 5193874824, 530 clinicians

Practice addresses (Care Compare)

8950 University Blvd
Suite 300
N Charleston, SC 29406-9889
Phone (843) 789-1800

Hospital & facility affiliations

  • Roper-St. Francis Home Health Home health agency, Charleston, SC, CCN 427042
  • Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110
  • Roper Hospital Hospital, Charleston, SC, CCN 420087
  • Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network Current Accepting new patients
Lexington Health Inc CurrentSince Aug 1, 2022 Accepting new patients
Lexington Health Inc Family Medicine Current Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Aug 26, 2024 Accepting new patients
Lexington Health Inc Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
Roper Saint Francis Physicians Network Family Medicine CurrentSince Aug 26, 2024 Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients

Locations

76 Polo Rd
Columbia, SC 29223
Phone (803) 699-7255

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

8950 University Blvd
Ste 300
North Charleston, SC 29406
Phone (843) 402-1766

Interoperability endpoints

  • Direct secure messaging: mmccoy2678718@direct.bsmhealth.org

Organizations & group practices 7

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 4

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": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1043770100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "888-472-0043",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 UNIVERSITY BLVD STE 300",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069889",
            "telephone_number": "843-553-0526",
            "fax_number": "843-606-8017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 Polo Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292232806",
            "country_code": "US",
            "telephone_number": "803-699-7255",
            "fax_number": "803-699-0848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "MIRANDA",
        "middle_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-23",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "82733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmccoy154954@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "76 Polo Rd",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292232806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.