Individual provider Active NPI

Andrew J. McMarlin, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Mount Pleasant, SC
National Provider Identifier
1497719355
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
1530 Issued in SC
Practice address
966 Houston Northcutt Blvd Ste E
Mount Pleasant, SC 29464-3487
Phone
(843) 471-0375
NPI assigned
Apr 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 1530 SC Primary
Family Medicine Physician 207Q00000X 1530 SC

Addresses

Primary practice location

966 Houston Northcutt Blvd Ste E
Mount Pleasant, SC 29464-3487

Mailing address

966 Houston Northcutt Blvd Ste E
Mount Pleasant, SC 29464-3487
Phone (843) 471-0375

Other identifiers 1

IdentifierTypeStateIssuer
015307MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111227000195 SC Practitioner - Family PracticePractitioner - Other (Physician)Practitioner - General PracticePractitioner - Sports Medicine 1951307636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice, Sports Medicine
Education
Philadelphia College of Osteopathic Medicine, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Colonial Family Practice LLCGroup PAC ID 9931017118, 58 clinicians
Palmetto Primary Care Physicians LLCGroup PAC ID 4880508068, 148 clinicians

Practice addresses (Care Compare)

325 Broad St
Suite 100
Sumter, SC 29150-4167
Phone (803) 773-5227

9313 Medical Plaza Dr
Suite 202
North Charleston, SC 29406-9176
Phone (843) 695-6071

Hospital & facility affiliations

  • Trident Medical Center Hospital, Charleston, SC, CCN 420079
  • Ashley River Healthcare Nursing home, Charleston, SC, CCN 425362

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1530SCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC Family Medicine CurrentSince Sep 23, 2025 Accepting new patients
Palmetto Primary Care Physicians, LLC Family Medicine Current Accepting new patients
Southcoast Physician Services Inc Past Accepting new patients
Southcoast Physicians Group, Inc. Past Accepting new patients
Palmetto Primary Care Physicians, LLC Family Medicine Past Accepting new patients
Colonial Family Practice, LLC Family Medicine Past Accepting new patients
Colonial Family Practice, LLC Family Medicine Past Accepting new patients
Southcoast Physicians Group, Inc. Family Medicine Past Accepting new patients

Locations

9313 Medical Plaza Dr
Ste 202
North Charleston, SC 29406
Phone (843) 572-1200

9313 Medical Plaza Dr
Ste 310
North Charleston, SC 29406
Phone (843) 569-1856

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1497719355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 HOUSTON NORTHCUTT BLVD STE E",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643487",
            "telephone_number": "843-471-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 HOUSTON NORTHCUTT BLVD STE E",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643487",
            "telephone_number": "843-471-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMARLIN",
        "first_name": "ANDREW",
        "middle_name": "J.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-16",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "SC",
            "license": "1530",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "1530",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015307",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.