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Organization Active NPI

McLeod Physician Associates

Doing business as McLeod OB/GYN - Seacoast

  • Obstetrics & Gynecology Physician
  • Little River, SC
National Provider Identifier
1396031985
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MCLEOD PHYSICIAN ASSOCIATES
Doing business as
McLeod OB/GYN - Seacoast
Practice address
3980 Highway 9 E
Suite 110
Little River, SC 29566-8163
Phone
(843) 399-3100
Fax
(843) 399-1099
NPI assigned
Jun 22, 2011
Last updated
Jun 7, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MCLEOD HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X SC Primary

Addresses

Primary practice location

3980 Highway 9 E
Suite 110
Little River, SC 29566-8163

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 777-7042

Other practice location 1

107 McLeod Health Blvd Ste 201
Myrtle Beach, SC 29579-4477
Phone (843) 399-3100

Other practice location 2

3617 Casey St
Loris, SC 29569-2981
Phone (843) 756-7090

Other names 1

  • McLeod OB/GYN - Seacoast Doing business as

National Provider Directory

National Provider Directory
Tax ID family
McLeod Physician Associates II138 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1396031985",
    "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": "843-777-7042",
            "fax_number": "843-777-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 HIGHWAY 9 E",
            "address_2": "SUITE 110",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295668163",
            "telephone_number": "843-399-3100",
            "fax_number": "843-399-1099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 McLeod Health Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295794477",
            "country_code": "US",
            "telephone_number": "843-399-3100",
            "fax_number": "843-399-1099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3617 Casey St",
            "address_purpose": "LOCATION",
            "city": "Loris",
            "state": "SC",
            "postal_code": "295692981",
            "country_code": "US",
            "telephone_number": "843-756-7090",
            "fax_number": "843-756-0043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCLEOD PHYSICIAN ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCLEOD HEALTH",
        "enumeration_date": "2011-06-22",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "843-777-7010"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLeod OB/GYN - Seacoast",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McLeod OB/GYN - Seacoast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little River, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.