Individual provider Active NPI

Patrick A McDougal

  • Family Nurse Practitioner
  • Florence, SC
National Provider Identifier
1275036618
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21868 Issued in SC
Practice address
555 E Cheves St
Florence, SC 29506
Phone
(843) 777-2000
NPI assigned
Mar 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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 21868 SC Primary

Addresses

Primary practice location

555 E Cheves St
Florence, SC 29506

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200226002405 SC Practitioner - Nurse Practitioner 1052748365 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Partners of South Carolina, Inc. CurrentSince Dec 11, 2019 Accepting new patients
McLeod Physician Associates II CurrentSince Feb 2, 2020 Accepting new patients
McLeod Physician Associates II CurrentSince Feb 2, 2020 Accepting new patients
Health Care Partners of South Carolina, Inc. CurrentSince Dec 11, 2019 Accepting new patients
Health Care Partners of South Carolina, Inc. Past Accepting new patients
Health Care Partners of South Carolina, Inc. Past Accepting new patients

Locations

1708 Oak St
Conway, SC 29526
Phone (843) 488-6363

1608 Main St
Conway, SC 29526
Phone (843) 488-6032

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

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

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

800 E Cheves St
Ste 260
Florence, SC 29506
Phone (803) 665-7941

123 E Broadway St
Johnsonville, SC 29555
Phone (843) 386-3573

145 Palmetto Pointe Rd
Marion, SC 29571
Phone (843) 423-2400

Interoperability endpoints

  • Direct secure messaging: patrick.mcdougal@hcposc.eclinicaldirectplus.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Care Partners of South Carolina, Inc. 21 clinicians

Practice addresses (Care Compare)

123 E Broadway St
Johnsonville, SC 29555-4252
Phone (843) 386-3573

Hospital & facility affiliations

  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
  • Tidelands Georgetown Memorial Hospital Hospital, Georgetown, SC, CCN 420020
  • CCN 420117 Hospital, CCN 420117

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1275036618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E CHEVES ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062617",
            "telephone_number": "843-777-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E CHEVES ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29506",
            "telephone_number": "843-777-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOUGAL",
        "first_name": "PATRICK",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.