NPIMap

Organization Active NPI

McLeod Physician Associates II

Doing business as McLeod Rheumatology Seacoast

  • Rheumatology Physician
  • North Myrtle Beach, SC
National Provider Identifier
1114459658
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
MCLEOD PHYSICIAN ASSOCIATES II
Doing business as
McLeod Rheumatology Seacoast
Practice address
2021 N Myrtle Point Blvd Ste 102
North Myrtle Beach, SC 29582-2224
Phone
(843) 366-3060
Fax
(843) 366-3069
NPI assigned
Apr 3, 2017
Last updated
Jun 7, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MCLEOD HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
Kenneth D. Beasley
Title
Senior Vice President
Phone
(843) 777-7010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X Primary

Addresses

Primary practice location

2021 N Myrtle Point Blvd Ste 102
North Myrtle Beach, SC 29582-2224

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 366-3729

Other practice location 1

107 McLeod Health Blvd Ste 201
Myrtle Beach, SC 29579-4477
Phone (843) 366-3060

Other names 1

  • McLeod Rheumatology Seacoast Doing business as

National Provider Directory

National Provider Directory
Tax ID family
McLeod Physician Assoc II138 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

107 McLeod Health Blvd
Myrtle Beach, SC 29579
Phone (843) 646-8001

115 McLeod Health Blvd
Bldg 3
Myrtle Beach, SC 29579
Phone (843) 646-8430

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1114459658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-366-3729",
            "fax_number": "843-777-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 N MYRTLE POINT BLVD STE 102",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295822224",
            "telephone_number": "843-366-3060",
            "fax_number": "843-366-3069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 McLeod Health Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295794477",
            "country_code": "US",
            "telephone_number": "843-366-3060",
            "fax_number": "843-366-3069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCLEOD PHYSICIAN ASSOCIATES II",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCLEOD HEALTH",
        "enumeration_date": "2017-04-03",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "843-777-7010"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLeod Rheumatology Seacoast",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McLeod Rheumatology Seacoast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.