Active NPI
Megan Elizabeth McQueen Logan, MS, LAT, ATC, NREMT
- Athletic Trainer
- Orangeburg, SC
National Provider Identifier
1063182483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1059
- Practice address
- 400 Magnolia St
Orangeburg, SC 29115-6815 - Phone
- (215) 704-6544
- NPI assigned
- Sep 16, 2021
- Last updated
- Nov 13, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 602665 | SC | |
| Athletic Trainer | 2255A2300X | 1059 | SC | Primary |
Addresses
Primary practice location
400 Magnolia St
Orangeburg, SC 29115-6815
Mailing address
400 Magnolia St
Orangeburg, SC 29115-6815
Phone (803) 535-5726
Other practice location 1
1558 Ellis Avenue
Orangeburg, SC 29118-2514
Phone (803) 533-6268
Other names 1
- Megan Elizabeth McQueen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 602665 | SC | MD | Basic Emergency Medical Technician |
| 1059 | SC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lower Valley Ambulance Service | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Land Ambulance
- Cheswick, PA
- NPI 1619974383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1063182483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 MAGNOLIA ST",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291156815",
"telephone_number": "803-535-5726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MAGNOLIA ST",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291156815",
"telephone_number": "215-704-6544"
}
],
"practiceLocations": [
{
"address_1": "1558 Ellis Avenue",
"address_purpose": "LOCATION",
"city": "Orangeburg",
"state": "SC",
"postal_code": "291182514",
"country_code": "US",
"telephone_number": "803-533-6268",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCQUEEN LOGAN",
"first_name": "MEGAN",
"middle_name": "ELIZABETH",
"credential": "MS, LAT, ATC, NREMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-16",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "SC",
"license": "602665",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "SC",
"license": "1059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "MCQUEEN",
"middle_name": "ELIZABETH",
"credential": "MS, LAT, ATC, NREMT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orangeburg, SC
- Adrienne Barron McMillan, OTR/L
- Dwight Delano McMillan Jr., DDS
- Karyney T McMillan, MA
- Michael James McMullen, M.D.
- Elaine Deloris McNeil, LISW-CP
- Mary McTeer
- Me Pivot Holdings LLC (Miracle-Ear Center)
- Lauren Shepard Meccarielli, CRNA
- Med-Trans Corporation
- Medical University Hospital Authority (MUSC Health- Rehabiliation - orangeburg - part of musc medical center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.