Angela D McLeod, MCD,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3891 Issued in SC

Practice address

220 Hasel St
Sumter, SC 29150-4506

Phone

(803) 774-5500

Fax

(803) 774-5500

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Angela McLeod Dalzell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Sumter School District

  • Local Education Agency (LEA)
  • Sumter, SC
  • NPI 1407152531
  NPD
• Kidtalk,LLC

  • Hearing and Speech Clinic/Center
  • Sumter, SC
  • NPI 1164693065
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1326149824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 SHIPWATCH DR.",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291546087",
            "telephone_number": "803-464-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HASEL ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504506",
            "telephone_number": "803-774-5500",
            "fax_number": "803-774-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 Shipwatch Dr.",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291546087",
            "country_code": "US",
            "telephone_number": "803-464-5850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "ANGELA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "MCD,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "12086768",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC LICENSURE",
            "identifier": "3891",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0742",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "DALZELL",
            "middle_name": "MCLEOD",
            "credential": "MCD, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• McLeod Physician Associates II (McLeod Urology Associates-Sumter)
• McLeod Physician Associates II (McLeod Med Share Sumter)
• McLeod Physician Associates II
• McLeod Physician Associates II (Palmetto Adult Medicine)
• McLeod Regional Medical Center of the Pee Dee, Inc (Palmetto Adult Medicine)
• Fannie McLeod
• Jessica Tye McLeod, PT
• Jill Braddy McLeod, M.D.
• Joseph Edward McLeod
• Lakisha D McLeod

• Speech-Language Pathologist in Sumter, SC
• Providers in Sumter, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.