Individual provider Active NPI

Rodney Owen Leacock, M.D.

  • Vascular Neurology Physician
  • Columbia, SC
National Provider Identifier
1356436703
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
35018 Issued in SC
Practice address
3 Richland Medical Park Dr Ste 310
Columbia, SC 29203-6862
Phone
(803) 434-8323
Fax
(803) 296-8326
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 200300373 NC
Vascular Neurology Physician 2084V0102X 35018 SC Primary

Addresses

Primary practice location

3 Richland Medical Park Dr Ste 310
Columbia, SC 29203-6862

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (803) 434-6412

Other practice location 1

300 Palmetto Health Pkwy
Columbia, SC 29212-1761
Phone (803) 296-7846

Other practice location 2

200 Patewood Dr
Suite B350
Greenville, SC 29615-3593
Phone (864) 454-4500

Other identifiers 2

IdentifierTypeStateIssuer
Q73003MedicaidSC
89134XVMedicaidNC

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
I20120723000314 SC Practitioner - Neurology 4183728173 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Howard University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

3 Richland Medical Park Dr
Suite 310
Columbia, SC 29203-6862
Phone (803) 434-8323

Hospital & facility affiliations

  • Prisma Health Hospice Midlands Hospice, Columbia, SC, CCN 421511
  • Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018
  • Prisma Health Tuomey Hospital Hospital, Sumter, SC, CCN 420070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200300373NCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Jul 9, 2012 Accepting new patients
Greenville Health System Current Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Nov 28, 2016 Accepting new patients
Prisma Health University Medical Group CurrentSince Jul 9, 2012 Accepting new patients
Greenville Health System CurrentSince Jul 9, 2012 Accepting new patients
Prisma Health Medical Group-Midlands Neurology CurrentSince Nov 28, 2016 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients

Locations

3 Richland Medical Park Dr
Ste 310
Columbia, SC 29203
Phone (803) 434-8323

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

200 Patewood Dr
Ste A340
Greenville, SC 29615
Phone (864) 454-2750

200 Patewood Dr
Ste B350
Greenville, SC 29615
Phone (864) 454-4500

200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

315 Medical Pkwy
Ste 200
Greer, SC 29650
Phone (864) 797-9550

719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000

807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132

Interoperability endpoints

  • Direct secure messaging: rleacock381721@direct.ghs.myhfn.org

Organizations & group practices 7

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 9

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1356436703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "803-434-6412",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 RICHLAND MEDICAL PARK DR STE 310",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036862",
            "telephone_number": "803-434-8323",
            "fax_number": "803-296-8326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Palmetto Health Pkwy",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292121761",
            "country_code": "US",
            "telephone_number": "803-296-7846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Patewood Dr",
            "address_2": "Suite B350",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296153593",
            "country_code": "US",
            "telephone_number": "864-454-4500",
            "fax_number": "864-454-4505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEACOCK",
        "first_name": "RODNEY",
        "middle_name": "OWEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "200300373",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "SC",
            "license": "35018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q73003",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89134XV",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.