Individual provider Active NPI

Megan Elizabeth McQueen Logan, MS, LAT, ATC, NREMT

  • Athletic Trainer
  • Orangeburg, SC
National Provider Identifier
1063182483
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1059 Issued in SC
Practice address
400 Magnolia St
Orangeburg, SC 29115-6815
Phone
(215) 704-6544
NPI assigned
Sep 16, 2021
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
602665SCMDBasic Emergency Medical Technician
1059SCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Valley Ambulance Service PastSince Nov 9, 2021 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.

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

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.

Verify at the official NPI Registry.