NPIMap

McLeod Physician Associates II

Organization Active NPI School Nurse Practitioner · Florence, SC

NPI 1386410967 · NPPES record last updated Mar 18, 2024

Key facts

NPI
1386410967
Entity type
Organization (NPI type 2)
Primary specialty
School Nurse Practitioner 363LS0200X
Legal business name
MCLEOD PHYSICIAN ASSOCIATES II
Practice address
800 E Cheves St Ste 380
Florence, SC 29506-2649
Phone
(843) 777-7650
Fax
(843) 777-9768
NPI assigned
Nov 27, 2023
Organization subpart
Yes
Parent organization (as reported)
MCLEOD HEALTH

Authorized official

Name
Kenneth Beasley
Title
Senior Vice President
Phone
(843) 777-7010

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
McLeod Physician Associates II (138 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP		 363LS0200X Yes

Addresses

Primary practice location

800 E Cheves St Ste 380
Florence, SC 29506-2649

Mailing address

PO Box 601743
Charlotte, NC 28260-1743
Phone (843) 777-7650

Other names

  • MPA - Centralized Services Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 18, 2024.

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1386410967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601743",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601743",
            "telephone_number": "843-777-7650",
            "fax_number": "843-777-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CHEVES ST STE 380",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062649",
            "telephone_number": "843-777-7650",
            "fax_number": "843-777-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEOD PHYSICIAN ASSOCIATES II",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCLEOD HEALTH",
        "enumeration_date": "2023-11-27",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "843-777-7010"
    },
    "taxonomies": [
        {
            "code": "363LS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MPA - Centralized Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MPA - Centralized Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, SC

All providers in Florence, SC · School Nurse Practitioner in South Carolina

Sources for this page

Verify at the official NPI Registry.