Individual provider Active NPI

Allan Robertson Macdonald, MD

  • Family Medicine Physician
  • Greenville, SC
National Provider Identifier
1275591216
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15203 Issued in SC
Practice address
877 W Faris Rd
Suite a
Greenville, SC 29605-4289
Phone
(864) 455-7800
NPI assigned
May 1, 2006
Last updated
Aug 21, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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 15203 SC Primary

Addresses

Primary practice location

877 W Faris Rd
Suite a
Greenville, SC 29605-4289

Mailing address

1 Independence PT
Suite 212
Greenville, SC 29615-4545
Phone (864) 797-6044

Other identifiers 1

IdentifierTypeStateIssuer
152033MedicaidSC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040611000842 SC Practitioner - Family Practice 9032013321 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Rochester School of Medicine and Dentistry, 1983
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)

144 N Ravenel St
Florence, SC 29506-2641
Phone (843) 777-2800

555 E Cheves St
Florence, SC 29506-2617

710 Chesterfield Hwy
Cheraw, SC 29520-7001
Phone (843) 537-0010

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Health Clarendon Family Medicine CurrentSince Jul 9, 2020 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Family Medicine Current Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc. Family Medicine CurrentSince Jun 1, 2005 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Current Accepting new patients
McLeod Health Clarendon Family Medicine CurrentSince Jul 9, 2020 Accepting new patients
McLeod Health Clarendon Current Accepting new patients
McLeod Physician Associates II Family Medicine CurrentSince Jul 9, 2020 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Jun 1, 2005 Accepting new patients
McLeod Physician Associates II CurrentSince Jul 9, 2020 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc. Past Accepting new patients

Locations

710 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 537-0001

144 N Ravenel St
Florence, SC 29506
Phone (843) 777-2566

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

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

10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000

50 E Hospital St
Ste 2
Manning, SC 29102
Phone (803) 435-5222

Interoperability endpoints

  • Direct secure messaging: amacdonald24784@directmcleodehealth.org

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

Hospital & facility affiliations 2

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1275591216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT",
            "address_2": "SUITE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154545",
            "telephone_number": "864-797-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 W FARIS RD",
            "address_2": "SUITE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054289",
            "telephone_number": "864-455-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "ALLAN",
        "middle_name": "ROBERTSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "15203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152033",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.