McLeod Health Cheraw
Organization Active NPI Certified Registered Nurse Anesthetist · Cheraw, SC
NPI 1275912974 · NPPES record last updated Feb 25, 2019
Key facts
- NPI
- 1275912974
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- Legal business name
- MCLEOD HEALTH CHERAW
- Practice address
- 711 Chesterfield Hwy
Cheraw, SC 29520-7002 - Phone
- (843) 537-7881
- NPI assigned
- May 27, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- MCLEOD HEALTH
Authorized official
- Name
- Samuel F Ervin III
- Title
- Sr. Vice President and Cfo
- Phone
- (843) 777-2910
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 5
Practitioners 287
-
Umeko Nicole Ash, APRN
-
Foy Douglas Connell, M.D.
-
Robert L Elder, M.D.
-
Toney Graham III, MD
-
Michael E Harless, M.D.
-
Matthew A Holman, MD
-
Vinay Jagadeesha, MD
-
Chandler Creech Larsen, FNP-BC
-
Eric J Larson, MD
-
Jonathan Leggett, D.O
-
Ashley T Lowe, FNP
-
John N Odom, MD
-
Brian Edward Snyder, D.O.
-
Kimberly N Spivey, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| McLeod Family Medicine-Darlington |
Rural health clinic | Operational/Managerial Control (100%) | Jan 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151218002079 | SC | Part B Supplier - Clinic/Group Practice | 7911228259 |
Receives reassigned benefits from 275 practitioners 3 other NPIs on this enrollment Practice locations: Bennettsville, SC; Mullins, SC; Darlington, SC; Cheraw, SC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | |||
| Certified Registered Nurse Anesthetist |
367500000X | Yes |
Addresses
Primary practice location
711 Chesterfield Hwy
Cheraw, SC 29520-7002
Mailing address
PO Box 100567
Florence, SC 29502-0567
Phone (843) 777-4400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F237 | Other | SC | MEDICARE |
| GP7142 | Medicaid | SC |
Other names
- McLeod Health Cheraw Physicians
Other providers in Cheraw, SC
- Charles Patrick McDonald Jr.
- McIvers Adult & Youth Services LLC
- Eric McLaine
- McLeod Family Medicine PA
- McLeod Family Medicine PA
- McLeod Health Cheraw
- McLeod Health Cheraw
- McLeod Health Cheraw
- McLeod Occupational Health, LLC
- McLeod Physician Associates II
All providers in Cheraw, SC · Certified Registered Nurse Anesthetist 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 Feb 25, 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.