McLeod Regional Medical Center of the Pee Dee, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC.

Practice address

701 Cashua Ferry Rd
Darlington, SC 29532-8488

Phone

(843) 398-8500

Fax

(843) 398-7028

NPI assigned

Feb 6, 2006

Organization subpart

Yes

Parent organization

MCLEOD HEALTHAs reported in NPPES

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

Authorized official

Name

Samuel Fulton Ervin III

Title

Sr VP and Cfo

Phone

(843) 777-2910

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• McLeod Family Medicine - Darlington Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• McLeod Regional Medical Center of the Pee Dee, Inc

  • Chronic Care Clinical Nurse Specialist
  • Florence, SC
  • NPI 1427004738

  O20040630000125

  Same enrollment
• McLeod Regional Medical Center of the Pee Dee, Inc.

  • Family Medicine Physician
  • Florence, SC
  • NPI 1205882461

  O20040630000125

  Same enrollment

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• McLeod Regional Medical Center of the Pee Dee, Inc

  • Home Health Agency
  • Florence, SC
  • NPI 1215991682

  Member Of

  NPD member

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• McLeod Health Cheraw

  • Rural Health Clinic/Center
  • Darlington, SC
  • NPI 1003410903

  Sold to, 2021-01-01

  CMS change of ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vinay Jagadeesha, MD

  • Family Medicine Physician
  • Darlington, SC
  • NPI 1518175777
  NPD
• Douglass Parker Lilly, MD

  • Family Medicine Physician
  • Darlington, SC
  • NPI 1134192313
  NPD

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551052800000",
    "number": "1376515197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-398-8500",
            "fax_number": "843-398-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CASHUA FERRY RD",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295328488",
            "telephone_number": "843-398-8500",
            "fax_number": "843-398-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCLEOD HEALTH",
        "enumeration_date": "2006-02-06",
        "last_updated": "2019-02-25",
        "status": "A",
        "authorized_official_last_name": "ERVIN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "FULTON",
        "authorized_official_title_or_position": "SR VP AND CFO",
        "authorized_official_telephone_number": "843-777-2910",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC525",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLeod Family Medicine - Darlington",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McLeod Family Medicine - Darlington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• McLeod Physician Associates II
• McLeod Physician Associates II
• McLeod Regional Medical Center of the Pee Dee Inc
• McLeod Regional Medical Center of the Pee Dee, Inc
• McLeod Regional Medical Center of the Pee Dee, Inc
• McLeod Regional Medical Center of the Pee Dee, Inc.
• Sentrella McPhail
• Jackson Lane McRae, RN, BSN
• Med Atlantic Medical Transport LLC
• Med Center Pharmacy & Medical Supply LLC

• Family Medicine Physician in Darlington, SC
• Providers in Darlington, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.