NPIMap

Individual provider Active NPI

Charles Patrick McDonald Jr., NP

  • Family Nurse Practitioner
  • Cheraw, SC
National Provider Identifier
1164061834
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
227468 Issued in SC
Practice address
316 2ND St
Cheraw, SC 29520-2404
Phone
(843) 292-0600
NPI assigned
Dec 30, 2019
Last updated
Dec 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 227468 SC Primary

Addresses

Primary practice location

316 2ND St
Cheraw, SC 29520-2404

Mailing address

316 2ND St
Cheraw, SC 29520-2404
Phone (843) 292-0600

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
I20200303001835 SC Practitioner - Nurse Practitioner 4082041017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

540 Physicians LN
Sumter, SC 29150-3370
Phone (803) 883-5171

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
227468SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II CurrentSince Oct 1, 2021 Accepting new patients
McLeod Physician Associates II Current Accepting new patients
McLeod Physician Associates II CurrentSince Oct 1, 2021 Accepting new patients
Palmetto Family Medicine of Chesterfield County, LLC CurrentSince Feb 1, 2020 Accepting new patients
McLeod Physician Associates II Family Past Accepting new patients

Locations

316 2nd St
Cheraw, SC 29520
Phone (843) 292-0600

1005 E Cheves St
Florence, SC 29506
Phone (843) 777-7900

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

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

  • Direct secure messaging: cmcdonald19663@directmcleodehealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/HJDHAD

Organizations & group practices 5

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 9

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": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1164061834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 2ND ST",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295202404",
            "telephone_number": "843-292-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 2ND ST",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295202404",
            "telephone_number": "843-292-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "CHARLES",
        "middle_name": "PATRICK",
        "name_suffix": "Jr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "227468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheraw, SC

Sources for this page

Verify at the official NPI Registry.