Charles Patrick McDonald Jr., NP
Individual provider Active NPI Family Nurse Practitioner · Cheraw, SC
NPI 1164061834 · NPPES record last updated Dec 30, 2019
Key facts
- NPI
- 1164061834
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 227468 (SC)
- Practice address
- 316 2ND St
Cheraw, SC 29520-2404 - Phone
- (843) 292-0600
- NPI assigned
- Dec 30, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McLeod Physician Associates II
Practice addresses (Care Compare)
540 Physicians LN
Sumter, SC 29150-3370
Phone (803) 883-5171
Hospital & facility affiliations
- McLeod Home Health Inc
- McLeod Health Clarendon
- Musc Medical Center
- McLeod Regional Medical Center-Pee Dee
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200303001835 | SC | Practitioner - Nurse Practitioner | 4082041017 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23617 | SC | MD | Psychiatry Physician |
| 227468 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Physician Associates II | Current |
Accepting new patients | |
| Palmetto Family Medicine of Chesterfield County, LLC | Current |
Accepting new patients | |
| McLeod Physician Associates II | Current | Accepting new patients | |
| McLeod Physician Associates II | Current |
Accepting new patients | |
| McLeod Physician Associates II | Family | Past | Accepting new patients |
Locations
316 2nd St
Cheraw, SC 29520
Phone (843) 292-0600
800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337
1005 E Cheves St
Florence, SC 29506
Phone (843) 777-7900
800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950
50 E Hospital St
Ste 6
Manning, SC 29102
Phone (803) 433-3065
540 Physicians Ln
Sumter, SC 29150
Phone (803) 778-1941
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HJDHAD
- cmcdonald19663@directmcleodehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 227468 | SC | Yes |
Addresses
Primary practice location
316 2ND St
Cheraw, SC 29520-2404
Mailing address
316 2ND St
Cheraw, SC 29520-2404
Phone (843) 292-0600
Other providers in Cheraw, SC
- Camillia L Livingston
- Luv-N-Caring LLC
- Ellen Wallace Mabe
- Main Healthcare LLC
- Walter R. Main
- McIvers Adult & Youth Services LLC
- Eric McLaine
- McLeod Family Medicine PA
- McLeod Family Medicine PA
- McLeod Health Cheraw
All providers in Cheraw, SC · Family Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.