NPIMap

Organization Active NPI

McLeod Occupational Health, LLC

Doing business as McLeod Onsite Health

  • Occupational Medicine Physician
  • Florence, SC
National Provider Identifier
1487288536
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
MCLEOD OCCUPATIONAL HEALTH, LLC
Doing business as
McLeod Onsite Health
Practice address
101 William H. Johnson
Medical Park East, Suite 150
Florence, SC 29506-8231
Phone
(843) 777-5162
NPI assigned
Feb 27, 2020
Last updated
Dec 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MCLEOD OCCUPATIONAL HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Mr. Samuel Fulton Ervin III
Title
Sr Vice President and Cfo
Phone
(843) 777-2910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X NU Primary

Addresses

Primary practice location

101 William H. Johnson
Medical Park East, Suite 150
Florence, SC 29506-8231

Mailing address

PO Box 100567
Florence, SC 29502-0567

Other names 1

  • McLeod Onsite Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
McLeod Occupational Health LLC8 organizations share this tax ID, including this one
Part of
McLeod Occupational Health LLC

Other organizations with this tax ID 7

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

Locations

324 W Evans St
Florence, SC 29501

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1487288536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100567",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295020567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WILLIAM H. JOHNSON",
            "address_2": "MEDICAL PARK EAST, SUITE 150",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295068231",
            "telephone_number": "843-777-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEOD OCCUPATIONAL HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCLEOD OCCUPATIONAL HEALTH, LLC",
        "enumeration_date": "2020-02-27",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "ERVIN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "FULTON",
        "authorized_official_title_or_position": "SR VICE PRESIDENT AND CFO",
        "authorized_official_telephone_number": "843-777-2910",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLeod Onsite Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McLeod Onsite Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.