NPIMap

Individual provider Active NPI

Prakash S Beeraka, MD

  • Family Medicine Physician
  • Florence, SC
National Provider Identifier
1124098868
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30937 Issued in SC
Practice address
101 South Ravenel Street
Suite 160
Florence, SC 29506-2610
Phone
(843) 662-1533
Fax
(843) 679-7273
NPI assigned
Jan 25, 2006
Last updated
Feb 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 30937 SC Primary

Addresses

Primary practice location

101 South Ravenel Street
Suite 160
Florence, SC 29506-2610

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 662-1533

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address prakash.beeraka@mpaii.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080902000313 SC Practitioner - Family Practice 1951203868 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora South Carolina LLCGroup PAC ID 3173766334, shared by 6 NPIs, 220 clinicians
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

2724 W Palmetto St
Florence, SC 29501-4909
Phone (843) 292-1900

3013 A W Palmetto St
Florence, SC 29501-5935

3015 W Palmetto St
Florence, SC 29501-5935
Phone (843) 777-6870

555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000

800 E Cheves St
Florence, SC 29506-2650

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30937SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Regional Medical Center of the Pee Dee, Inc Family Medicine CurrentSince Sep 15, 2024 Accepting new patients
McLeod Physician Associates II CurrentSince Aug 4, 2008 Accepting new patients
McLeod Physician Associates II Family Medicine Current Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Sep 15, 2024 Accepting new patients
McLeod Physician Associates II CurrentSince Aug 4, 2008 Accepting new patients
McLeod Regional Medical Center of the Pee Dee Inc Past Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc. Past Accepting new patients

Locations

101 S Ravenel St
Ste 160
Florence, SC 29506
Phone (843) 662-1533

506 E Cheves St
#202
Florence, SC 29506
Phone (843) 777-5091

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

800 E Cheves St
Ste 200
Florence, SC 29506
Phone (843) 662-1502

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

Interoperability endpoints

  • Direct secure messaging: pbeeraka19231@directmcleodehealth.org
  • Direct secure messaging: prakash.beeraka@mpaii.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1124098868",
    "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": "843-662-1533",
            "fax_number": "843-679-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SOUTH RAVENEL STREET",
            "address_2": "SUITE 160",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062610",
            "telephone_number": "843-662-1533",
            "fax_number": "843-679-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEERAKA",
        "first_name": "PRAKASH",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "30937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prakash.beeraka@mpaii.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "ECW DA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "101 South Ravenel Street",
            "address_2": "Suite 160",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295062610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.