Edward J McNeil Jr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

10330 Issued in SC

Practice address

109 Spanish Point Dr
Beaufort, SC 29902-6130

Phone

(843) 812-2838

NPI assigned

Jun 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Beaufort Jasper Hampton Comprehensive Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ridgeland, SC
  • NPI 1649276148
  Medicare reassignment NPD
• Jamison Consultant'S, LLC

  • Mental Health Counselor
  • Columbia, SC
  • NPI 1255648028
  Medicare reassignment NPD
• Coastal Carolina Primary Care, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Myrtle Beach, SC
  • NPI 1821257676
  NPD (past)
• Coastal Inpatient Physicians, LLC

  • Internal Medicine Physician
  • Charleston, SC
  • NPI 1215043872
  NPD (past)
• Colleton Medical Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Walterboro, SC
  • NPI 1659316958
  NPD (past)
• Colleton Medical Hospitalists LLC

  • Hospitalist Physician
  • Walterboro, SC
  • NPI 1942245246
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1073517595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SPANISH POINT DR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026130",
            "telephone_number": "843-812-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 SPANISH POINT DR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026130",
            "telephone_number": "843-812-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEIL",
        "first_name": "EDWARD",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "10330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1566",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "57-1060903",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandy Michelle McKenzie, PTA
• Thomas Joseph McMahon, IP ADC I
• Peyton McManus
• Cynthia Morgan McMillan McGraw, PHARMD
• Morgan McNeal
• Don McRae, M. ED
• Jamie Michael McWilliams, DMD
• Me Pivot Holdings LLC
• Meadows Healthcare Alliance
• Robert P. Medzie, MA

• Internal Medicine Physician in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.