McLeod Physician Associates II

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MCLEOD PHYSICIAN ASSOCIATES II

Practice address

3032 E Highway 76
Mullins, SC 29574-7396

Phone

(843) 292-7300

Fax

(843) 292-7324

NPI assigned

Sep 12, 2006

Organization subpart

Yes

Parent organization

MCLEOD HEALTHAs reported in NPPES

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

Authorized official

Name

Jeff Murrell

Title

Regional Practice Manager/Avp

Phone

(843) 777-7093

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• McLeod Family Medicine - Marion County Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• McLeod Physician Associates II

  • Orthopaedic Surgery Physician
  • Florence, SC
  • NPI 1922555739

  Member Of

  NPD member

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1255435848",
    "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": "843-292-7300",
            "fax_number": "843-292-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3032 E HIGHWAY 76",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295747396",
            "telephone_number": "843-292-7300",
            "fax_number": "843-292-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEOD PHYSICIAN ASSOCIATES II",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCLEOD HEALTH",
        "enumeration_date": "2006-09-12",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "MURRELL",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "REGIONAL PRACTICE MANAGER/AVP",
        "authorized_official_telephone_number": "843-777-7093"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC169",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC094",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1648",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLeod Family Medicine - Marion County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marion School District Seven
• Gangatharan Mathisuthan, M.D
• Maverick Medical Transport LLC
• Julianna Maynor, NURSE PRACTITIONER
• McLeod Health Cheraw
• McLeod Physician Associates, Inc
• Tammy B McMillan
• McQueen Family Chiropractic
• Katherine F McQueen, DC
• Med-Trans Corporation

• All providers in Mullins, SC
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.