NPIMap

Organization Active NPI

McLeod Family Medicine PA

  • Family Medicine Physician
  • Cheraw, SC
National Provider Identifier
1407182371
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15756 Issued in SC
Legal business name
MCLEOD FAMILY MEDICINE PA
Practice address
110 Doctors Dr
Ste B2
Cheraw, SC 29520-7112
Phone
(843) 537-9932
Fax
(843) 537-9936
NPI assigned
Oct 27, 2009
Last updated
Oct 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Authorized official

Name
Mrs. Janet G Teal
Title
Office Manager
Phone
(843) 537-9932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15756 SC Primary

Addresses

Primary practice location

110 Doctors Dr
Ste B2
Cheraw, SC 29520-7112

Mailing address

110 Doctors Dr
Ste B2
Cheraw, SC 29520-7112
Phone (843) 537-9932

Other identifiers 1

IdentifierTypeStateIssuer
157564MedicaidSC

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: johnmcleod@jmcmd.allscriptsdirect.net
  • Direct secure messaging: lindseycoward@jmcmd.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1407182371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 DOCTORS DR",
            "address_2": "STE B2",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295207112",
            "telephone_number": "843-537-9932",
            "fax_number": "843-537-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DOCTORS DR",
            "address_2": "STE B2",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295207112",
            "telephone_number": "843-537-9932",
            "fax_number": "843-537-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEOD FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "TEAL",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-537-9932",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "15756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157564",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheraw, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.