Individual provider Active NPI

Douglas Raymond McCoy, C.N.P.

  • Family Nurse Practitioner
  • Mount Pleasant, SC
National Provider Identifier
1376642322
Registry record updated Mar 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19505 Issued in SC
Practice address
2863 N Highway 17
Mt Pleasant, SC 29466-8962
Phone
(614) 747-0403
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19505 SC Primary

Addresses

Primary practice location

2863 N Highway 17
Mt Pleasant, SC 29466-8962

Mailing address

2863 N Highway 17
Mount Pleasant, SC 29466-8962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL, NC, GA, VA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20151014001708 SC Practitioner - Nurse Practitioner 1052317864 Reassigns benefits to 4 organizations
I20160106001367 FL Practitioner - Nurse Practitioner 1052317864 Reassigns benefits to 1 organization
I20161027001690 NC Practitioner - Nurse Practitioner 1052317864 Reassigns benefits to 1 organization
I20180913002406 GA Practitioner - Nurse Practitioner 1052317864 Reassigns benefits to 3 organizations
I20210211003097 VA Practitioner - Nurse Practitioner 1052317864 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians
Charleston Carenow Urgent Care LLCGroup PAC ID 3274893359, 72 clinicians

Practice addresses (Care Compare)

1115 Savannah Hwy
Charleston, SC 29407-7805
Phone (843) 300-3355

1675 N Main St
Summerville, SC 29486-7847
Phone (843) 285-2169

1850 Sam Rittenberg Blvd
Charleston, SC 29407-4936
Phone (843) 793-6093

1900 Tebeau St
Waycross, GA 31501-6357
Phone (912) 283-3030

2863 N Hwy 17
Mt Pleasant, SC 29466-8962
Phone (843) 606-3911

8720 Dorchester Rd
North Charleston, SC 29420-7303
Phone (843) 552-3629

8740 Rivers Ave
North Charleston, SC 29406-9211
Phone (843) 377-2406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
19505SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inphynet Primary Care Physicians Southeast PC Nurse Practitioner CurrentSince Aug 1, 2018 Accepting new patients
Southeastern Intensivist Services PC CurrentSince Mar 11, 2021 Accepting new patients
Southeastern Hospitalist Services PC Nurse Practitioner CurrentSince Nov 1, 2020 Accepting new patients
Medcare Urgent Care Center - Anderson LLC CurrentSince Mar 16, 2023 Accepting new patients
Paragon Emergency Services LLC Nurse Practitioner CurrentSince Jan 1, 2016 Accepting new patients
Acs Emergency Physicians of SC PC Nurse Practitioner CurrentSince Sep 1, 2015 Accepting new patients
Acs Primary Care Physicians - Southeast PC Nurse Practitioner CurrentSince Sep 1, 2015 Accepting new patients
Medcare Express - North Charleston LLC CurrentSince Mar 16, 2023 Accepting new patients
Mid-Ohio Emergency Services, LLC Nurse Practitioner Past Accepting new patients
Charleston Carenow Urgent Care, LLC PastSince May 16, 2026 Accepting new patients

Locations (25 of 26)

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

462541 State Road 200
Yulee, FL 32097
Phone (904) 391-6300

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

1115 Savannah Hwy
Charleston, SC 29407
Phone (843) 300-3355

1850 Sam Rittenberg Blvd
Ste B
Charleston, SC 29407
Phone (843) 576-5246

10136 Two Notch Rd
Ste 104
Columbia, SC 29229
Phone (803) 509-7570

7418 Garners Ferry Rd
Columbia, SC 29209
Phone (803) 509-6310

2863 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 469-6803

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

8720 Dorchester Rd
#1201
North Charleston, SC 29420

8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629

8740 Rivers Ave
North Charleston, SC 29406
Phone (843) 337-2406

3816 Highway 17 S
North Myrtle Beach, SC 29582
Phone (843) 272-1411

201 Business Center Dr
Pawleys Island, SC 29585
Phone (843) 314-3209

301 E Wood St
Spartanburg, SC 29303
Phone (843) 576-5246

1675 N Main St
Summerville, SC 29486
Phone (843) 285-2169

110 Medical Cir
Ste A
West Columbia, SC 29169

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774742400000",
    "number": "1376642322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2863 N HIGHWAY 17",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2863 N HIGHWAY 17",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294668962",
            "telephone_number": "614-747-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "DOUGLAS",
        "middle_name": "RAYMOND",
        "credential": "C.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2026-03-29",
        "certification_date": "2026-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.